Active NPI
Merle (Aka Mardy) Sanders Ireland, PH,D.
- Counseling Psychologist
- Raleigh, NC
National Provider Identifier
1982811303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3254
- Practice address
- 3733 National Dr
114
Raleigh, NC 27612-4065 - Phone
- (919) 821-3635
- NPI assigned
- May 16, 2007
- Sex
- Female
- 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 | 3254 | NC | Primary |
Addresses
Primary practice location
3733 National Dr
114
Raleigh, NC 27612-4065
Mailing address
3733 National Dr
114
Raleigh, NC 27612-4065
Phone (919) 821-3635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3254 | Other | NC | NORTH CAROLINA PSYCHOLOGY LICENSE |
Other names 1
- Dr. Merle (Mardy) Sanders Ireland
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3254 | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247788800000",
"number": "1982811303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3733 NATIONAL DR",
"address_2": "114",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124065",
"telephone_number": "919-821-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3733 NATIONAL DR",
"address_2": "114",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124065",
"telephone_number": "919-821-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRELAND",
"first_name": "MERLE (AKA MARDY)",
"middle_name": "SANDERS",
"name_prefix": "Dr.",
"credential": "PH,D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2009-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "3254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA PSYCHOLOGY LICENSE",
"identifier": "3254",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MERLE (MARDY)",
"last_name": "IRELAND",
"middle_name": "SANDERS",
"prefix": "DR.",
"credential": "PH.D",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.