MERCLAN PLLC (NPI# 1487687174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487687174 |
| Entity Type | Organization |
| Organization Name | MERCLAN PLLC |
| Practice Address |
6200 Crestwood Sta Suite A Crestwood KY 40014-7418 |
| Mailing Address |
Po Box 73070 Cleveland OH 44193-0002 |
| Practice Telephone | 5022412909 |
| Practice Fax Number | 5022416811 |
| Mailing Telephone | 5022412909 |
| Mailing Fax Number | 5022416811 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-07-11 |
| Authorized Official Name | JEFFERY T MERCER (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5022412909 |
| Authorized Official Credential | M.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 659444007 | 05 |
| Street Address |
6200 CRESTWOOD STA SUITE A |
| City | CRESTWOOD |
| State | KY |
| Zip Code | 40014-7418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083965206 | Amy Lynn Fowkes | Psychologist | 6200 Crestwood Sta, Suite A, Crestwood, KY 40014-7418 | 2012-09-27 |
| 1750489944 | Sarah Acland | Psychiatry & Neurology | 6200 Crestwood Sta, Suite A, Crestwood, KY 40014-7418 | 2006-09-20 |
| 1275636193 | Patricia L Gosnell | Social Worker | 6200 Crestwood Sta, Suite B, Crestwood, KY 40014-7418 | 2006-09-06 |
| 1174635619 | Susan Kathleen Shearer | Counselor | 6200 Crestwood Sta, Ste A, Crestwood, KY 40014-7418 | 2006-08-31 |
| 1609895697 | Elaine M Duncan | Counselor | 6200 Crestwood Sta, Suite A, Crestwood, KY 40014-7418 | 2006-07-19 |
| 1326067323 | Fay C Mccutchan | Social Worker | 6200 Crestwood Sta, Suite A, Crestwood, KY 40014-7418 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720411556 | Meagan L Vowels | Behavioral Analyst | 5895 W. Hwy 146, Crestwood, KY 40014 | 2013-08-15 |
| 1003157538 | Craig L Satterley | Physical Therapist | 6003 Pleasant Colony Ct Ste 3, Crestwood, KY 40014 | 2013-03-07 |
| 1871868802 | Wallace Lyle Past Sr. | General Practice | 4608 Heritage Manor, Crestwood, KY 40014 | 2012-03-08 |
| 1609153725 | Patricia Ann Gray | Behavioral Analyst | 5895 W Highway 146, Crestwood, KY 40014 | 2011-11-03 |
| 1528374253 | Laura R Carroll | Dentist | 6344 W. Hwy 146 Ste 100, Crestwood, KY 40014 | 2010-08-18 |
| 1699922849 | Mortenson Family Dental Center | Clinic/Center | 6408 W Hwy 146, Crestwood, KY 40014 | 2008-08-19 |
| 1760658546 | Kathy J. Pansegrau, Dc, Psc | Chiropractor | 6402 Westwind Way, Suite 5, Crestwood, KY 40014 | 2008-05-01 |
| 1952584054 | Alyssa Ann Dykgraaf | Dentist | 5805 Whwy 22, Ste 100, Crestwood, KY 40014 | 2007-12-11 |
| 1780881649 | Gwinn A. K. Vonnahme | Dentist | 5998 Pleasant Colony Ct. Suite 23, Crestwood, KY 40014 | 2007-07-02 |
| 1326250960 | Sue B Feeley | Dentist | 6225 W Hwy 146, Crestwood, KY 40014 | 2007-05-04 |
| Find all providers in zip 40014 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1861530610 | Counseling Associates | Psychologist | 1316 Frederica Street, Owensboro, KY 42301 | 2007-02-02 |
| 1174021364 | Elizabeth Sullivan | Psychologist | 7508 New Lagrange Rd, Suite 5, Louisville, KY 40222 | 2018-01-23 |
| 1336261023 | Amy C Cappiccie | Psychologist | 1316 Frederica St, Owensboro, KY 42301 | 2007-04-04 |
| 1235266693 | Shirley Hazelwood | Psychologist | 1316 Frederica St, Owensboro, KY 42301 | 2007-02-27 |
| 1790824712 | Donald Preuss | Psychologist | 1316 Frederica St, Owensboro, KY 42301 | 2007-02-06 |
| 1609914456 | Margaret Ann Huston | Psychologist | 1316 Frederica St, Owensboro, KY 42301 | 2007-02-02 |
| 1093853772 | Angela Basham Bell | Psychologist | 1316 Frederica St, Owensboro, KY 42301 | 2007-02-02 |
| 1740328426 | Greta Jo Mcdonough | Psychologist | 1316 Frederica St, Owensboro, KY 42301 | 2007-02-02 |
| 1588702344 | Michelle L Mayfield | Psychologist | 1316 Frederica St, Owensboro, KY 42301 | 2007-02-02 |
| Find all providers with the same taxonomy | ||||
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| 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.