NPIMap

Organization Active NPI

Meridian Behavioral Healthcare, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Lake City, FL
National Provider Identifier
1003559204
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MERIDIAN BEHAVIORAL HEALTHCARE, INC.
Practice address
439 SW Michigan St
Lake City, FL 32025-0440
Phone
(386) 487-0800
NPI assigned
Apr 15, 2022
Last updated
Apr 15, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MERIDIAN BEHAVIORAL HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lauren Cohn
Title
Exec VP / Chief Operating Officer
Phone
(352) 374-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

439 SW Michigan St
Lake City, FL 32025-0440

Mailing address

1565 SW Williston Rd
Gainesville, FL 32608-4044

National Provider Directory

National Provider Directory
Tax ID family
Meridian Behavorial Hea29 organizations share this tax ID, including this one
Part of
Meridian Behavorial Hea

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1003559204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 SW WILLISTON RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 SW MICHIGAN ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250440",
            "telephone_number": "386-487-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN BEHAVIORAL HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERIDIAN BEHAVIORAL HEALTHCARE, INC.",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "COHN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "EXEC VP / CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "352-374-5600"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.