Individual provider Active NPI

Cynthia Ziegler Mealer, PH.D.

  • Clinical Psychologist
  • Cordova, TN
National Provider Identifier
1497743306
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
TNPOOOO1949 Issued in TN
Practice address
245 Germantown Bend CV
Cordova, TN 38018-7238
Phone
(901) 833-1746
Fax
(901) 756-5927
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X TNPOOOO1949 TN Primary

Addresses

Primary practice location

245 Germantown Bend CV
Cordova, TN 38018-7238

Mailing address

PO Box 382801
Germantown, TN 38183-2801
Phone (901) 833-1746

Other identifiers 1

IdentifierTypeStateIssuer
3687002MedicaidTN

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
TNPOOOO1949TNMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1497743306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382801",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381832801",
            "telephone_number": "901-833-1746",
            "fax_number": "901-756-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 GERMANTOWN BEND CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187238",
            "telephone_number": "901-833-1746",
            "fax_number": "901-756-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEALER",
        "first_name": "CYNTHIA",
        "middle_name": "ZIEGLER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "TNPOOOO1949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3687002",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.