MERIDIAN BEHAVIORAL HEALTHCARE (NPI# 1982871307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982871307 |
| Entity Type | Organization |
| Organization Name | MERIDIAN BEHAVIORAL HEALTHCARE |
| Practice Address |
406 10th Ave Nw Jasper FL 32052-5844 |
| Mailing Address |
1565 Sw Williston Rd Gainesville FL 32608-4044 |
| Practice Telephone | 3867921338 |
| Mailing Telephone | 3523745600 |
| Mailing Fax Number | 3522440280 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | LAUREN COHN (SVP / CHIEF PERFORMANCE OFFICER) |
| Authorized Official Telephone | 3523745600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 360344009 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 117 Sw Virginia Cir, Mayo, FL 320664065 | 3523745600 |
| 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 |
| 1275700601 | Meridian Behavioral Healthcare | Community/Behavioral Health | 173 Se Baya Dr, Lake City, FL 32025-5982 | 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 |
406 10TH AVE NW |
| City | JASPER |
| State | FL |
| Zip Code | 32052-5844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861635690 | Pamela Joy Kiselica | Case Manager/Care Coordinator | 406 10th Ave Nw, Jasper, FL 32052-5844 | 2009-04-09 |
| 1124295464 | Meridian Behavioral Healthcare, Inc. | Community/Behavioral Health | 406 10th Ave Nw, Jasper, FL 32052-5844 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700362282 | North Florida Pediatrics, Pa | Pediatrics | 5686 Us Highway 129 South, School Clinic, Jasper, FL 32052 | 2018-07-17 |
| 1467902718 | Anthony James Holden | Non-emergency Medical Transport (VAN) | 1124 Maplewood Rd, Jasper, FL 32052 | 2016-10-11 |
| 1114347143 | Danielle Bryant | Custodial Care Facility | 3181 Nw 111th Pl, Jasper, FL 32052 | 2014-04-17 |
| 1962717538 | Fawaz Abdulraheem | Surgery | Mubarak Al-kabeer Hospital, Street 103, Jabriya, Kuwait City, KWI 32052 | 2010-08-08 |
| 1033447206 | Latia Lumpkin | Home Health | 1001 3rd St Nw, Jasper, FL 32052 | 2009-11-30 |
| 1558540104 | Hamilton Count Council On Aging | Case Management | 1509 S.w. 1st St., Jasper, FL 32052 | 2007-10-31 |
| 1861513665 | Hometown Care | Durable Medical Equipment & Medical Supplies | 107 Hatley Street, Jasper, FL 32052 | 2007-04-02 |
| 1215091699 | Hamilton County School Board | Local Education Agency (LEA) | 4280 S.w. County Rd 152, Jasper, FL 32052 | 2006-12-20 |
| 1689738296 | Hamilton County School Board | Local Education Agency (LEA) | 4280 S. W. County Rd 152, Jasper, FL 32052 | 2006-12-20 |
| 1205925146 | W. Benjamin Norris Jr. | Dentist | 107 First Ave Se, Jasper, FL 32052 | 2006-10-11 |
| Find all providers in zip 32052 | ||||
| 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 |
|---|---|---|---|---|
| 1447603782 | Playful Healing & Counseling | Community/Behavioral Health | 408 S Carroll St, Jasper, IN 47546-9702 | 2016-07-21 |
| 1801294293 | Highland Recovery Center | Community/Behavioral Health | 323 Roland Road, Jasper, GA 30143 | 2014-12-17 |
| 1801232798 | Lighthouse Therapy LLC | Community/Behavioral Health | 812 20th Ave E, Jasper, AL 35501-4024 | 2013-05-17 |
| 1144573049 | Highland Rivers Community Service Board | Community/Behavioral Health | 85 Jefferson Ct, Jasper, GA 30143-6838 | 2012-10-17 |
| 1598018483 | Highland Rivers Community Service Board | Community/Behavioral Health | 65 Mill Creek Rd, Jasper, GA 30143-3964 | 2012-10-17 |
| 1740426287 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 504 West Court Street, Room 110, Jasper, AR 72641 | 2009-01-06 |
| 1538222971 | Highland Rivers Csb | Community/Behavioral Health | 323 Roland Rd, Jasper, GA 30143-5336 | 2006-12-18 |
| 1952707598 | Lakeside Educational Seminars and Services | Community/Behavioral Health | 3400 Highway 78 E, Dr Maloney Next To Senior Care, Jasper, AL 35501-8907 | 2014-11-10 |
| 1831599554 | Alternative Oppurtunities | Community/Behavioral Health | 504 W Court St, Jasper, AR 72641-0110 | 2014-08-29 |
| 1104190073 | Collaborations for Resiliency In Children, Inc | Community/Behavioral Health | 2404 Refuge Rd, Jasper, GA 30143-4946 | 2012-02-23 |
| Find all providers in JASPER | ||||
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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.