Meridian Psychotherapy, Inc

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

MERIDIAN PSYCHOTHERAPY, INC

Practice address

4509 Whitechapel Dr
Virginia Beach, VA 23455-6447

Phone

(757) 460-4655

Fax

(757) 460-7744

NPI assigned

May 23, 2007

Last updated

May 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael E Bohan, MDNPI 1326058983

Title

President

Phone

(757) 460-4655

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Michael Edward Bohan, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Virginia Beach, VA
  • NPI 1326058983
  Authorized official Same address or phone

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1104036391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 WHITECHAPEL DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556447",
            "telephone_number": "757-460-4655",
            "fax_number": "757-460-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 WHITECHAPEL DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556447",
            "telephone_number": "757-460-4655",
            "fax_number": "757-460-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PSYCHOTHERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "BOHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-460-4655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley D Mercer, LCSW
• Merchant Card Solutions LLC (Med Brace Shop)
• Czarina Merchant, BCTMB, CPT
• Edith Mercurio, LPC
• Meridian Psychotherapy Services, LLC (Meridian Psychotherapy Services)
• Sheryl Ann Merrick, LPC
• Brandy Kellum Merritt
• Kaleigh Elyse Merritt, BT
• Margaret M. Merritt, M.ED., CCC-SLP
• Julie Merry

• Addiction Medicine (Internal Medicine) Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Addiction Medicine (Internal Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.