CONAN MERRICK L.M.T.
NPI 1972985950
Massage Therapist in Port Jefferson Station, NY

Active since June 25, 2015
1050 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776(631) 681-5875 Get Directions Write a Review

NPPES record last updated: October 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Conan Merrick L.m.t. NPPES

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

CONAN MERRICK L.M.T. (NPI 1972985950) is an individual massage therapist in Port Jefferson Station, New York, licensed in New York (028169) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1972985950
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameCONAN MERRICKCredential: L.M.T.
Location Address1050 HALLOCK AVEPort Jefferson Station, NY 11776-1214
Mailing Address144 Gnarled Hollow RdEast Setauket, NY 11733-1976 · (631) 681-5875
Sole ProprietorNo
Enumeration DateJune 25, 2015
Last NPPES UpdateOctober 7, 2023
NPPES CertifiedOctober 7, 2023
NPI 1972985950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in NY · 028169
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
1050 HALLOCK AVE, Port Jefferson Station, NY 11776

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Social Worker (Clinical)
1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Social Worker (Clinical)
1050 HALLOCK AVE, SUITE 4
PORT JEFFERSON STATION, NY 11776
Social Worker (Clinical)
1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Psychologist (Clinical)
1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Counselor (Mental Health)
1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Social Worker (Clinical)
1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Psychologist (Clinical)
1050 HALLOCK AVE, SUITE 1
PORT JEFFERSON STATION, NY 11776

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 Conan Merrick's NPI number?

The NPI number for Conan Merrick is 1972985950. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Conan Merrick located?

Conan Merrick practices at 1050 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 681-5875.

What is Conan Merrick's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Conan Merrick was last updated on October 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.