Meridian Behavioral Health, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.007831 Issued in IL

Legal business name

MERIDIAN BEHAVIORAL HEALTH, PC

Practice address

3923 Mercy Dr Unit F
McHenry, IL 60050-3173

Phone

(815) 322-3280

Fax

(815) 308-5297

NPI assigned

Mar 31, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Bidwell, PH.D.

Title

Director

Phone

(815) 322-3280

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1447575550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 MERCY DR UNIT F",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503173",
            "telephone_number": "815-322-3280",
            "fax_number": "815-308-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 MERCY DR UNIT F",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503173",
            "telephone_number": "815-322-3280",
            "fax_number": "815-308-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN BEHAVIORAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "BIDWELL",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-322-3280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribeth Mensik
• Susan Mercado, PT
• Mercy Health System Corporation
• Mercy Health System Corporation
• Sandra Mereness
• Estela H Merkel
• Kayla Rae Metreger
• Stephanie Meyer Strumberger, MA, LCPC
• Elizabeth M. Meyer, CRNA
• Erika Meyer

• Clinical Psychologist in McHenry, IL
• Providers in McHenry, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.