Meridan Behavioral Healthcare

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MERIDAN BEHAVIORAL HEALTHCARE

Practice address

585 SW Chris Ter
Lake City, FL 32024-3397

Phone

(386) 697-9064

NPI assigned

Sep 25, 2014

Organization subpart

No

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

Authorized official

Name

James Merritt Jr.

Title

Recovery Specialist

Phone

(386) 697-9064

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1184026817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 SW CHRIS TER",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320243397",
            "telephone_number": "386-697-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 SW CHRIS TER",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320243397",
            "telephone_number": "386-697-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDAN BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "RECOVERY SPECIALIST",
        "authorized_official_telephone_number": "386-697-9064",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Meridian Behavioral Healthcare, Inc.
• Meridian Behavioral Healthcare, Inc. of Lake City

• Mental Illness Community Based Residential Treatment Facility in Lake City, FL
• Providers in Lake City, FL by specialty
• Mental Illness Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.