Meier Clinics of California, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3411 Issued in WA

Legal business name

MEIER CLINICS OF CALIFORNIA, INC.

Doing business as

Meier Clinics Washington

Practice address

22232 17TH Ave SE Ste 312
Suite a
Bothell, WA 98021-7425

Phone

(630) 653-1717

Fax

(630) 653-7926

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Sandy Newport

Title

Nat. Ex. Asst.

Phone

(630) 653-1717

Specialties & licenses 11

Addresses

Other names 1

• Meier Clinics Washington Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Meier Clinics of California Inc

  • Clinical Psychologist
  • Bothell, WA
  • NPI 1720028988

  O20050705000221

  Same enrollment

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1265488357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22232 17TH AVE SE STE 312",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217425",
            "telephone_number": "630-653-1717",
            "fax_number": "630-653-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22232 17TH AVE SE STE 312",
            "address_2": "SUITE A",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217425",
            "telephone_number": "630-653-1717",
            "fax_number": "630-653-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEIER CLINICS OF CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "NEWPORT",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "NAT. EX. ASST.",
        "authorized_official_telephone_number": "630-653-1717"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00053229",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00048643",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00044759",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00044760",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00042515",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00047928",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00044300",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00005033",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "3411",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00001469",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meier Clinics Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa C Medler, LMP
• Kelly Anne Medzegian
• Megan T. Brown, Arnp, PLLC
• Urvashi Mehta, DPT,NCS
• Meier Clinics of California Inc
• Katrina Meiusi
• Melissa Coleen Mejias, LICSW
• Sandra Lynne Melanson, RPT
• Julio Melendez
• Alexandra Melnik, LMHCA

• Psychologist in Bothell, WA
• Providers in Bothell, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.