Individual provider Active NPI

Audrey Elaine Meader, PSY.S

  • School Psychologist
  • Muskegon, MI
National Provider Identifier
1447180336
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
PP0000001218376 Issued in MI
Practice address
1458 5TH St
Muskegon, MI 49441-2117
Phone
(231) 720-2488
NPI assigned
May 21, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X PP0000001218376 MI Primary

Addresses

Primary practice location

1458 5TH St
Muskegon, MI 49441-2117

Mailing address

4954 Paw Paw Lake Rd
Coloma, MI 49038-9607
Phone (269) 363-7994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PP0000001218376MIMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1447180336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 PAW PAW LAKE RD",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490389607",
            "telephone_number": "269-363-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 5TH ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412117",
            "telephone_number": "231-720-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADER",
        "first_name": "AUDREY",
        "middle_name": "ELAINE",
        "credential": "PSY.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MI",
            "license": "PP0000001218376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.