NPIMap

Organization Active NPI

Meridian Psychology Practice, PLLC

  • Clinical Psychologist
  • Geneseo, NY
National Provider Identifier
1043921984
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MERIDIAN PSYCHOLOGY PRACTICE, PLLC
Practice address
4 South St
Geneseo, NY 14454-1310
Phone
(585) 770-7190
NPI assigned
Dec 12, 2022
Last updated
Dec 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Lauren P WadsworthNPI 1356861884
Title
Owner
Phone
(585) 764-8748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

4 South St
Geneseo, NY 14454-1310

Mailing address

4 South St
Geneseo, NY 14454-1310
Phone (585) 770-7190

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Simplepractice.com Direct

National Provider Directory

National Provider Directory

Locations

4 South St
Geneseo, NY 14454
Phone (585) 770-7190

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1043921984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SOUTH ST",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541310",
            "telephone_number": "585-770-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SOUTH ST",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541310",
            "telephone_number": "585-770-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PSYCHOLOGY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "WADSWORTH",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-764-8748"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Simplepractice.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Simple Practice",
            "address_1": "4 South St",
            "city": "Geneseo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144541310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Geneseo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.