Deryk Thomas Meehan, LMHC, LADCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7262 Issued in MA

Practice address

223 Carroll St
New Bedford, MA 02740-1450

Phone

(508) 813-1305

NPI assigned

Jan 15, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1144091315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 CARROLL ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027401450",
            "telephone_number": "508-813-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 CARROLL ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027401450",
            "telephone_number": "508-813-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "DERYK",
        "middle_name": "THOMAS",
        "credential": "LMHC, LADCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "2245",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen R Medeiros, LMT
• Melissa G. Medeiros
• Medx International Inc.
• Medx Neurodiagnostics
• Medx Ultrasound, Inc.
• Meeting Street Massachusetts, Inc.
• Meeting Street Massachusetts, Inc.
• Emily Mehta, NP
• Aden Meiselbach, LCSW
• Alan Joel Meister, LADC1

• Mental Health Counselor in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.