Active NPI
Rod J Merta, PH.D.
- Counseling Psychologist
- Truth Or Consequences, NM
National Provider Identifier
1952460404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 542
- Practice address
- 133 N Riverside Dr
Truth Or Consequences, NM 87901-9738 - Phone
- (575) 894-4357
- Fax
- (575) 894-4358
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 542 | NM | Primary |
Addresses
Primary practice location
133 N Riverside Dr
Truth Or Consequences, NM 87901-9738
Mailing address
133 N Riverside Dr
Truth Or Consequences, NM 87901-9738
Phone (575) 894-4357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000K0463 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 542 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230422400000",
"number": "1952460404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 N RIVERSIDE DR",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "879019738",
"telephone_number": "575-894-4357",
"fax_number": "575-894-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 N RIVERSIDE DR",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "879019738",
"telephone_number": "575-894-4357",
"fax_number": "575-894-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERTA",
"first_name": "ROD",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2008-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NM",
"license": "542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000K0463",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Truth Or Consequences, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.