Poupak Merrill is a Psychologist in San Jose, California. Poupak Merrill practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Poupak Merrill is 1750447520. The last update date is 2021-12-30.
Poupak Merrill's current location address is 5755 Cottle Rd, San Jose, California. You can contact this provider via phone number 4089723095 and fax number 4089723242. The mailing address for Poupak Merrill is 5755 Cottle Rd, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Poupak Merrill |
|---|---|
| Address | 5755 Cottle Rd, San Jose, California |
| Phone Number | 4089723095 |
| Fax Number | 4089723242 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1750447520 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2021-12-30 |
Provider Mailing Address Detail
| Address | 5755 Cottle Rd |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951233640 |
| Phone Number | 4089723095 |
| Fax Number | 4089723242 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY 17674 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code issued to Poupak Merrill by the Centers for Medicare & Medicaid Services?
The Poupak Merrill has been assigned the NPI (National Provider Identifier) 1750447520 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Poupak Merrill?
The Poupak Merrill is situated at 5755 Cottle Rd, in the city of San Jose, state of CA, with the zip code 951233640.
What is Poupak Merrill's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Poupak Merrill is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date was the 1750447520 assigned to Poupak Merrill?
The Poupak Merrill was issued its 1750447520 on 2006-12-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Poupak Merrill most recently updated or refreshed?
The details pertaining to the Poupak Merrill, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-30.