Individual
MICHAEL GEORGE MERCURY
Active
Individual
MICHAEL GEORGE MERCURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
071005518
IL
103G00000X
Clinical Neuropsychologist
Primary
071005518
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071005518
—
IL
01
—
206147
MEDICARE (GROUP PTAN)
IL
01
—
F400101012
MEDICARE (INDIVIDUAL PTAN)
IL
Enumeration date
11/28/2006
Last updated
01/22/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up