SUSAN ELIZABETH MERRY (NPI# 1063578219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063578219 |
| Entity Type | Individual |
| Full Name | SUSAN ELIZABETH MERRY |
| Credential | MA, LMHC |
| Practice Address |
227 N Dixie Way Suite 205 South Bend IN 46637-3385 |
| Practice Telephone | 5742470119 |
| Practice Fax Number | 5742470126 |
| Mailing Telephone | 5742470119 |
| Mailing Fax Number | 5742470126 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39001508A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811215650 | Susan B Merry | Behavioral Analyst | 39 Hillside Rd, Watertown, MA 02472-1444 | 2010-05-04 |
| 1447818414 | Susan Diaz Merry | Nurse Practitioner | 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6800 | 2019-06-04 |
| Street Address |
227 N DIXIE WAY SUITE 205 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46637-3385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841248754 | Intrigue Counseling, Inc | Social Worker | 227 N Dixie Way, Suite 210, South Bend, IN 46637-3385 | 2006-05-04 |
| 1508213844 | Diane Johnson Prosser, Phd., LLC | Psychologist | 227 N Dixie Way, Suite 110, South Bend, IN 46637-3385 | 2016-05-17 |
| 1497088942 | Lee L Lindsey | Hearing Instrument Specialist | 227 N Dixie Way, Suite 110, South Bend, IN 46637-3385 | 2009-09-16 |
| 1386814051 | Mary Robin Wood | Counselor | 227 N Dixie Way, Ste 335, South Bend, IN 46637-3385 | 2008-03-09 |
| 1073713459 | Brigette M Goulet | Acupuncturist | 227 N Dixie Way, Suite 200, South Bend, IN 46637-3385 | 2007-07-23 |
| 1386773216 | Heidi Wringer | Social Worker | 227 N Dixie Way, Ste 130, South Bend, IN 46637-3300 | 2007-03-05 |
| 1811085954 | Shannon Sheehan Jennings | Counselor | 227 N Dixie Way, Suite 235, South Bend, IN 46637-3385 | 2006-10-11 |
| 1184643280 | Abbee Dallek Smith | Social Worker | 227 N Dixie Way, South Bend, IN 46637-3385 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851715155 | Rachel Cundiff | Pharmacist | 52482 Sr 933 N, South Bend, IN 46637 | 2014-02-07 |
| 1821427857 | Hancock Regional Hospital | Skilled Nursing Facility | 52565 Sr 933, South Bend, IN 46637 | 2013-11-12 |
| 1437587854 | Triple L Associates | Durable Medical Equipment & Medical Supplies | 227 Dixie Way North, Suite 110, South Bend, IN 46637 | 2013-10-22 |
| 1104251479 | Tao Bai | Pharmacist | 52482 State Rd 933, South Bend, IN 46637 | 2013-09-05 |
| 1801152210 | Richard James Holloway | Urology | 18799 Arapaho Ln, South Bend, IN 46637 | 2012-04-10 |
| 1255613618 | Angela Taylor | Pharmacist | 52482 St Rd 933 N, South Bend, IN 46637 | 2011-09-12 |
| 1831345248 | Cherlyn Po | Occupational Therapist | 52654 N Ironwood Rd, South Bend, IN 46637 | 2008-08-18 |
| 1164599304 | Decatur County Memorial Hospital | Alzheimer Center (Dementia Center) | 18325 Bailey Ave, South Bend, IN 46637 | 2006-11-30 |
| 1831572478 | Patrick Kelly | Occupational Therapy Assistant | 52565 Sr 933, South Bend, IN 46637 | 2015-07-01 |
| 1083262992 | Francesca E Udoh | Nurse Practitioner | 51875 Whitestable Ln, South Bend, IN 46637-1371 | 2019-09-04 |
| Find all providers in zip 46637 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962917385 | Andrea Eriks | Counselor | 51728 Indiana 933, South Bend, IN 46637-4663 | 2017-12-07 |
| 1497272975 | Audrey Renee Miller | Counselor | 912 E Lasalle Ave, South Bend, IN 46617-2817 | 2017-08-25 |
| 1912429127 | Valerie Galbraith | Counselor | 51728 State Road 933, South Bend, IN 46637-1706 | 2017-07-10 |
| 1851781777 | Beth Madigan | Counselor | 2955 Mckinley Ave Ste C, South Bend, IN 46615-2733 | 2015-01-30 |
| 1982901450 | Jocelyn Margaret Bailey | Counselor | 616 E. Colfax Ave., South Bend, IN 46617-2827 | 2011-02-18 |
| 1629378658 | Lindsay London | Counselor | 3516 E Jefferson Blvd, South Bend, IN 46615-3034 | 2010-10-25 |
| 1902133648 | Martha Denise May | Counselor | 1006 West Robert Bush Drive, South Bend, WA 98586 | 2009-11-16 |
| 1205086246 | Goode Counseling Services | Counselor | 4560 S Ironwood Dr, South Bend, IN 46614-9595 | 2008-09-26 |
| 1326207820 | Geraldne F Bryan | Counselor | 1443 Hampshire Dr, South Bend, IN 46614-6005 | 2008-06-09 |
| 1225223100 | Lisa K. Sexton | Counselor | 205 W Jefferson Blvd, Suite 504, South Bend, IN 46601-1828 | 2007-09-13 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46637 |
Please comment or provide details below to improve the information on SUSAN ELIZABETH MERRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.