MERIDIAN BEHAVIORAL HEALTH SERVICES (NPI# 1669878823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669878823 |
| Entity Type | Organization |
| Organization Name | MERIDIAN BEHAVIORAL HEALTH SERVICES |
| Practice Address |
2800 N Sheridan Rd Suite 108 Chicago IL 60657-6156 |
| Practice Telephone | 7733317690 |
| Practice Fax Number | 8475599348 |
| Mailing Telephone | 7733317690 |
| Mailing Fax Number | 8475599348 |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | DR. JOHN CHRISTIAN HARDIE (PRESIDENT) |
| Authorized Official Telephone | 3128105646 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245698356 | Meridian Behavioral Health Services | Community/Behavioral Health | 60 Thompson St, Canton, NC 28716-3325 | 2016-02-03 |
| 1447562707 | Meridian Behavioral Health Services | Community/Behavioral Health | 131 Walnut St, Waynesville, NC 28786 | 2010-07-02 |
| 1427360791 | Meridian Behavioral Health Services | Community/Behavioral Health | 307 Broadview Rd, Waynesville, NC 28786 | 2010-07-02 |
| 1396982005 | Meridian Behavioral Health Services | Community/Behavioral Health | 44 Bonnie Ln, Sylva, NC 28779-8511 | 2009-01-16 |
| Street Address |
2800 N SHERIDAN RD SUITE 108 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-6156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102563 | Kevin G Murphy | Family Medicine | 2800 N Sheridan Rd, Ste 606, Chicago, IL 60657-6159 | 2005-05-27 |
| 1679096572 | Angela Dawn Mcnichols | Psychologist | 2800 N Sheridan Rd, Suite 108, Chicago, IL 60640-6064 | 2017-07-23 |
| 1427585132 | Andrew Mastro | Physician Assistant | 2800 N Sheridan Rd, Suite 210, Chicago, IL 60657-6156 | 2017-05-12 |
| 1417480476 | Sheridan Counseling Group PC | Counselor | 2800 N Sheridan Rd, Suite 110, Chicago, IL 60657-6156 | 2017-04-06 |
| 1235685256 | Forefront Dermatology, S.c. | Dermatology | 2800 N Sheridan Rd, Suite 508, Chicago, IL 60657 | 2016-08-30 |
| 1265881932 | Noah H Rosen Dmd, LLC | Dentist | 2800 N Sheridan Rd, Suite 204, Chicago, IL 60657-6108 | 2016-06-03 |
| 1215327101 | Platinum Medical Associates, Ltd | Internal Medicine | 2800 N Sheridan Rd, Suite 110, Chicago, IL 60657-6156 | 2015-01-29 |
| 1659717221 | Jennifer In-hee Hur | Family Medicine | 2800 N Sheridan Rd, Suite 101, Chicago, IL 60657 | 2013-05-22 |
| 1437415668 | Elizabeth M. Gould | Nurse Practitioner | 2800 N Sheridan Rd, Suite 301, Chicago, IL 60657-6156 | 2012-04-02 |
| 1497025977 | Resurrection Services | Internal Medicine | 2800 N Sheridan Rd, Ste 500, Chicago, IL 60657-6156 | 2011-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649830159 | Natalie Berger | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 203, Chicago, IL 60612-3227 | 2019-06-17 |
| 1225575871 | Israel Gross | Clinical Neuropsychologist | 1934 W. Roscoe St., #4, Chicago, IL 60657 | 2017-01-20 |
| 1144680703 | Brenda Henderson | Clinical Neuropsychologist | 7958 S Michigan Ave, Chicago, IL 60619-3509 | 2016-02-25 |
| 1386002871 | Karen Rottier | Clinical Neuropsychologist | 1539 W Oakdale Ave, Chicago, IL 60657-4010 | 2016-01-29 |
| 1952784589 | Jana Wingo | Clinical Neuropsychologist | 320 E Superior St, Chicago, IL 60611-3010 | 2015-07-01 |
| 1275947236 | Mattthew Paul Richmond | Clinical Neuropsychologist | 33 N Dearborn St Ste 1600, C/o Dr. Matthew Richmond, Chicago, IL 60602-3102 | 2014-06-18 |
| 1437578044 | Jason Ryan Soble | Clinical Neuropsychologist | 912 S Wood St # Mc913, Chicago, IL 60612-4300 | 2014-04-10 |
| 1245671841 | David A Meyerson | Clinical Neuropsychologist | 2500 W Bradley Pl, Suite 100, Chicago, IL 60618-4702 | 2013-07-11 |
| 1700136850 | Melissa Shoemaker | Clinical Neuropsychologist | 2835 N Sheffield Ave Ste 202, Chicago, IL 60657-5083 | 2012-09-17 |
| 1518214451 | Christopher Conley Stewart | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2012-08-09 |
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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.