Individual provider Active NPI

Louise R Merves-Okin, PH.D.

  • Clinical Psychologist
  • Wyncote, PA
National Provider Identifier
1962615930
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS005541-L Issued in PA
Practice address
25 Washington LN
Suite 6a-2
Wyncote, PA 19095-1403
Phone
(215) 576-6523
Fax
(215) 576-6999
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS005541-L PA Primary

Addresses

Primary practice location

25 Washington LN
Suite 6a-2
Wyncote, PA 19095-1403

Mailing address

The Wyncotr House Suite 6a-2
25 Washington Lane
Wyncote, PA 19095
Phone (215) 576-6523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000195 PA Practitioner - Clinical Psychologist 6002073806 Practice locations: Wyncote, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Washington Lane
Wyncote, PA 19095
Phone (215) 576-6523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS005541-LPAMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1962615930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE WYNCOTR HOUSE SUITE 6A-2",
            "address_2": "25 WASHINGTON LANE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "19095",
            "telephone_number": "215-576-6523",
            "fax_number": "215-576-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WASHINGTON LN",
            "address_2": "SUITE 6A-2",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951403",
            "telephone_number": "215-576-6523",
            "fax_number": "215-576-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERVES-OKIN",
        "first_name": "LOUISE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005541-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyncote, PA

Sources for this page

Verify at the official NPI Registry.