DR. DAVID E MERMELSTEIN PH.D.
NPI 1790029791
Psychologist - Clinical in Charlotte, NC

Q: What is David Mermelstein's NPI number?

The NPI number for David Mermelstein is 1790029791. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Q: What is David Mermelstein's specialty?

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

Q: Is David Mermelstein enrolled in Medicare?

No. David Mermelstein has opted out of Medicare through July 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for David Mermelstein was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 15, 2012Opted out of Medicare · through Jul 9, 2028

6201 FAIRVIEW ROAD, STE 200, CHARLOTTE, NC 28210(704) 372-0670 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Dr. David E Mermelstein Ph.d. NPPES

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

DR. DAVID E MERMELSTEIN PH.D. (NPI 1790029791) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (4011) and active in the NPI registry since November 2012. He has opted out of Medicare through July 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790029791

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DAVID E MERMELSTEINCredential: PH.D.

Location Address6201 FAIRVIEW ROAD, STE 200Charlotte, NC 28210-3297

Mailing Address6201 Fairview Rd Ste 200Charlotte, NC 28210-3297 · (704) 372-0670

Phone(704) 372-0670

Sole ProprietorYes

Enumeration DateNovember 15, 2012

✔ NPI 1790029791 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 NC · 4011

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.

6201 FAIRVIEW ROAD, STE 200, Charlotte, NC 28210

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. David E Mermelstein Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 9, 2016 through July 9, 2028.

Opt-Out Effective DateJuly 9, 2016

Opt-Out In Effect ThroughJuly 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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 David Mermelstein's NPI number?

The NPI number for David Mermelstein is 1790029791. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is David Mermelstein located?

David Mermelstein practices at 6201 Fairview Road, Ste 200, Charlotte, NC 28210. The listed phone number is (704) 372-0670.

What is David Mermelstein's specialty?

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

Is David Mermelstein enrolled in Medicare?

No. David Mermelstein has opted out of Medicare through July 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for David Mermelstein was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.