MERIDIAN BEHAVIORAL HEALTHCARE (NPI# 1275700601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275700601 |
| Entity Type | Organization |
| Organization Name | MERIDIAN BEHAVIORAL HEALTHCARE |
| Practice Address |
173 Se Baya Dr Lake City FL 32025-5982 |
| Practice Telephone | 3867550337 |
| Mailing Telephone | 3867550337 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | HEATHER RUPERT (BILLING DIRECTOR) |
| Authorized Official Telephone | 3523745600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 360344017 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144497488 | Meridian Behavioral Healthcare | Community/Behavioral Health | 728 Ne 7th St, Trenton, FL 32693-3637 | 2008-05-15 |
| 1982871224 | Meridian Behavioral Healthcare | Community/Behavioral Health | 920 Nobles Ferry Rd, Live Oak, FL 32064-8463 | 2008-05-15 |
| 1982871307 | Meridian Behavioral Healthcare | Clinic/Center | 406 10th Ave Nw, Jasper, FL 32052-5844 | 2008-05-14 |
| 1073780318 | Meridian Behavioral Healthcare | Community/Behavioral Health | 945 Grand St, Starke, FL 32091-1821 | 2008-05-15 |
| 1417124751 | Meridian Behavioral Healthcare | Community/Behavioral Health | 395 W Main St, Lake Butler, FL 32054-1642 | 2008-05-15 |
| 1306013644 | Meridian Behavioral Healthcare | Community/Behavioral Health | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2008-05-15 |
| 1134396476 | Meridian Behavioral Healthcare | Community/Behavioral Health | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2008-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERIDIAN BEHAVIORAL HEALTHCARE, INC. | 4300 Sw 13th St, Gainesville, FL 32608-4006 |
| Street Address |
173 SE BAYA DR |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-5982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679067870 | Atl Sport | Community/Behavioral Health | 5376 Jonesboro Rd, Lake City, GA 30260 | 2018-06-20 |
| 1326423443 | Mindful Behavioral Inc | Community/Behavioral Health | 323 Mercy St, Lake City, SC 29560-2331 | 2015-07-30 |
| 1457703332 | Jameel Pearson | Community/Behavioral Health | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2016-07-05 |
| 1740672518 | Henry and Rilla White Youth Foundation Inc. | Community/Behavioral Health | 305 Nw Christian Ct, Lake City, FL 32055-4837 | 2015-03-03 |
| 1629245964 | Meridian Behaviral Healthcare | Community/Behavioral Health | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2008-05-15 |
| 1174641666 | Pee Dee Mental Health Center | Community/Behavioral Health | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932992 | Dfd Therapy Services LLC | Community/Behavioral Health | 2742 Sw 8th St Ste 8, Miami, FL 33135-4636 | 2020-11-07 |
| 1952902611 | Tallon Medical Center Inc | Community/Behavioral Health | 5600 Sw 135th Ave Ste 110, Miami, FL 33183-5125 | 2020-11-07 |
| 1356942288 | Sol Community Center, Corp | Community/Behavioral Health | 8550 W Flagler St Ste 118, Miami, FL 33144-2037 | 2020-11-06 |
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1235739806 | Twins Medical Services Corp | Community/Behavioral Health | 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 | 2020-10-31 |
| 1558961110 | Family Evolution Mental Health Care Inc | Community/Behavioral Health | 2500 Nw 79th Ave Ste 255, Doral, FL 33122-1087 | 2020-10-31 |
| 1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
| 1508466533 | Exceptional Healthcare Services Corp | Community/Behavioral Health | 13240 N Cleveland Ave Ste 1, North Fort Myers, FL 33903-4855 | 2020-10-28 |
| 1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
| 1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.