Organization Active NPI

The Meridian Group of Chesterfield

  • Clinical Psychologist
  • Chesterfield, VA
National Provider Identifier
1467476093
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THE MERIDIAN GROUP OF CHESTERFIELD
Practice address
9401 Courthouse Rd Ste 200
Chesterfield, VA 23832-6687
Phone
(804) 751-8644
Fax
(804) 751-0648
NPI assigned
Jul 27, 2006
Last updated
Dec 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
John Patrick DwyerNPI 1346212115
Title
PH.D.
Phone
(804) 751-8644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

9401 Courthouse Rd Ste 200
Chesterfield, VA 23832-6687

Mailing address

9401 Courthouse Rd Ste 200
Chesterfield, VA 23832-6687
Phone (804) 751-8644

Other identifiers 1

IdentifierTypeStateIssuer
252743000OtherMAGELLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230103002719 VA Part B Supplier - Clinic/Group Practice 7416327655 Receives reassigned benefits from 2 practitioners
Practice locations: Chesterfield, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1467476093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 COURTHOUSE RD STE 200",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326687",
            "telephone_number": "804-751-8644",
            "fax_number": "804-751-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 COURTHOUSE RD STE 200",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326687",
            "telephone_number": "804-751-8644",
            "fax_number": "804-751-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MERIDIAN GROUP OF CHESTERFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PH.D.",
        "authorized_official_telephone_number": "804-751-8644"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "252743000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.