PAUL MERMIN (NPI# 1497761902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497761902 |
| Entity Type | Individual |
| Full Name | PAUL MERMIN |
| Credential | PH.D. |
| Practice Address |
820 S Boylan Ave Dorothea Dix Hospital 3601 Msc Center Raleigh NC 27699-3601 |
| Mailing Address |
403 Parkside Cir Chapel Hill NC 27516-9179 |
| Practice Telephone | 9197335344 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
1086 | NC | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1086 | NC | Behavioral Health & Social Service Providers |
| Street Address |
820 S BOYLAN AVE DOROTHEA DIX HOSPITAL 3601 MSC CENTER |
| City | RALEIGH |
| State | NC |
| Zip Code | 27699-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093721714 | Jacqueline Gaillard Gibson | Physician Assistant | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2006-08-01 |
| 1477870608 | Elizabeth F Lansing | Social Worker | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2010-04-28 |
| 1972745453 | George Timothy Dennard | Social Worker | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2009-03-31 |
| 1306085212 | Gordon Kyle Lavin | Psychiatry & Neurology | 820 S Boylan Ave, 2 East, Raleigh, NC 27603-2246 | 2009-02-17 |
| 1275742579 | Thomas Matthews Haizlip | Psychiatry & Neurology | 820 S Boylan Ave, Scott Building, Raleigh, NC 27603-2246 | 2007-05-22 |
| 1760690705 | Tanya Rose Cheevers | Psychiatry & Neurology | 820 S Boylan Ave, Mcbryde Bldg., Raleigh, NC 27603-2246 | 2007-05-21 |
| 1740498286 | Judy Neal Bennett | Pharmacist | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-05-18 |
| 1124246111 | Nicole Francoise Wolfe | Psychiatry & Neurology | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-04-23 |
| 1316164254 | Dorothea Dix Hospital | General Acute Care Hospital | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-04-20 |
| 1861526113 | James Kraig Dixon | Social Worker | 820 S Boylan Ave, Raleigh, NC 27699-0001 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093145864 | Katherine Everett | Health Educator | 2108 Umstead Dr, Raleigh, NC 27699-0001 | 2013-11-15 |
| 1922246065 | Peter Delaney Morris | Preventive Medicine | 2020 Yonkers Rd, Raleigh, NC 27699-0001 | 2009-01-28 |
| 1578722849 | William David Joyner | Dentist | N C Correctional Institution for Women, 1034 Bragg St., Raleigh, NC 27699-0001 | 2008-06-03 |
| 1548459142 | Clifford Austin Nelson Curtis | Internal Medicine | North Carolina Department of Corrections; 4287 Bragg St, Raleigh, NC 27699-0001 | 2007-10-18 |
| 1770539348 | Pamela Louise1 Burch | Social Worker | 3024 Msc, Raleigh, NC 27699-0001 | 2006-05-25 |
| 1962653444 | Peter Bertram Goodman | Social Worker | Dorothea Dix Hospital, 3601 Mail Service Center, Raleigh, NC 27699-0001 | 2008-10-02 |
| 1790946507 | Ernest Graham Forrest | Dentist | 831 W Morgan St, Raleigh, NC 27699-0001 | 2008-06-24 |
| 1235390261 | Vasznt Doshi | Internal Medicine | 831 W Morgan St, Raleigh, NC 27699-0001 | 2008-06-23 |
| 1639349699 | Claretta B. Oshodi | Pharmacist | Dorothea Dix Hospital, 3601 Mail Service Cener, Raleigh, NC 27699-0001 | 2008-03-06 |
| 1033307657 | Leslie Greeene Oakley | Speech-Language Pathologist | 319 Chapanoke Rd, Raleigh, NC 27699-0001 | 2007-10-09 |
| Find all providers in zip 27699 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453832 | Hsiao-wen Wang | Psychologist | 8450 Falls of Neuse Rd Ste 200, Raleigh, NC 27615-3549 | 2020-09-29 |
| 1104447242 | Arbor Behavioral Health | Psychologist | 1100 Navaho Dr Ste 123, Raleigh, NC 27609-7359 | 2020-04-29 |
| 1538714175 | Rebecca Eileen Barnette | Psychologist | 8374 Six Forks Rd Ste 201, Raleigh, NC 27615-5096 | 2019-08-08 |
| 1851857965 | Jennifer Funaro | Psychologist | 8951 Harvest Oaks Dr, Raleigh, NC 27615-2113 | 2019-02-13 |
| 1518433010 | Sarah Filone | Psychologist | 3040 Hammond Business Pl # 105, Raleigh, NC 27603-3666 | 2018-10-23 |
| 1700387545 | Jamie Grisham | Psychologist | 333 Fayetteville St Ste 1225, Raleigh, NC 27601-1742 | 2018-02-27 |
| 1972002004 | Ethan R. Levine, Ph.d. | Psychologist | 11937 Straight A Way Ln, Raleigh, NC 27613-7105 | 2018-02-05 |
| 1467964379 | Tiffany Hopkins | Psychologist | 361 The Greens Cir Apt 244, Raleigh, NC 27606-5259 | 2017-11-01 |
| 1588199764 | Fitzpatrick Psychological Services | Psychologist | 111 Windel Drive, Suite 213, Raleigh, NC 27609 | 2017-04-26 |
| 1083155709 | Bennie Wheat | Psychologist | 3717 National Dr Ste 208, Raleigh, NC 27612-4877 | 2017-03-14 |
| Find all providers in RALEIGH | ||||
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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.