Individual provider Active NPI

Merle (Aka Mardy) Sanders Ireland, PH,D.

  • Counseling Psychologist
  • Raleigh, NC
National Provider Identifier
1982811303
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3254 Issued in NC
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

Updated by the provider on Jul 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3254OtherNCNORTH CAROLINA PSYCHOLOGY LICENSE

Other names 1

  • Dr. Merle (Mardy) Sanders Ireland Professional name

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

LicenseStateTypeSpecialty
3254NCMDBehavioral 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.

Verify at the official NPI Registry.