Physician Compare National (NPI:1285717041)

HEALTHCARE PROVIDER: JEANETTE H. MERKEL PH.D., M.F.T.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285717041
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395911531
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120110000321
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MERKEL
	Individual professional last name
Provider First Name	JEANETTE
	Individual professional first name
Provider Middle Name	HAUSEMAN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	141 DUESENBERG DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2
	Group Practice or individual's line 2 address
City	WESTLAKE VILLAGE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913623467
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8053787205
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y