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KAREN M MERKEL PH.D.
NPI 1295335578
Psychologist - Clinical in New Haven, CT

Active since October 27, 2020PECOS EnrolledAccepts Medicare Assignment
1440 WHALLEY AVE, NEW HAVEN, CT 06515(203) 389-5599 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen M Merkel Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN M MERKEL PH.D. (NPI 1295335578) is an individual clinical provider in New Haven, Connecticut, licensed in Connecticut (003837) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1295335578
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKAREN M MERKELCredential: PH.D.
Location Address1440 WHALLEY AVENew Haven, CT 06515-1144
Mailing Address51 Alston AveNew Haven, CT 06515-2702 · (713) 828-5814
Phone(203) 389-5599
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1295335578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CT · 003837
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1440 WHALLEY AVE, New Haven, CT 06515
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen M Merkel Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375956287
PECOS Enrollment IDI20210114002027
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Karen Merkel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jewish Family Service Of New Haven Inc.
Same address
Mental Health (Including Community Mental Health Center)
1440 WHALLEY AVE
New Haven, CT 06515
  • Reassigned Medicare billing, Connecticut enrollment
  • 11 clinicians in this Medicare group
NPI 1326107376 (203) 389-5599

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06515 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATE RICHARDSON
Social Worker (Clinical)
1440 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 389-5599
MRS. ELIZABETH KUNNECKE DAVENPORT LMSW
Social Worker
1440 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 389-5599
MRS. HENI SCHWARTZ LCSW
Counselor (Mental Health)
1440 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 389-5599
JEWISH FAMILY SERVICE OF NEW HAVEN INC
Community/Behavioral Health
1440 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 389-5599
AMY G RASHBA MSW,LCSW
Social Worker (Clinical)
1440 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 389-5599
MARCY R. KLEIN LCSW
Social Worker
1440 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 389-5599
JEWISH FAMILY SERVICE OF NEW HAVEN INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
1440 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 389-5599
MARGALIET LIGTENSTEIN LCSW
Social Worker (Clinical)
1440 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 389-5599

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Merkel's NPI number?

The NPI number for Karen Merkel is 1295335578. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Karen Merkel located?

Karen Merkel practices at 1440 Whalley Ave, New Haven, CT 06515. The listed phone number is (203) 389-5599.

What is Karen Merkel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Karen Merkel enrolled in Medicare?

Yes. Karen Merkel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Karen Merkel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Merkel reassigns Medicare benefits to Jewish Family Service Of New Haven Inc. (New Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Merkel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Merkel accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Merkel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Merkel was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.