NPIMap

Organization Active NPI

Meridian Psychiatric Associates LLC

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1538436878
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
74316 Issued in GA
Legal business name
MERIDIAN PSYCHIATRIC ASSOCIATES LLC
Practice address
551 Boulevard SE # D
Atlanta, GA 30312-3464
Phone
(410) 409-2348
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Ms. Nia Sipp, M.D.
Title
Doctor
Phone
(410) 409-2348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 74316 GA Primary

Addresses

Primary practice location

551 Boulevard SE # D
Atlanta, GA 30312-3464

Mailing address

551 Boulevard SE # D
Atlanta, GA 30312-3464
Phone (410) 409-2348

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1538436878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 BOULEVARD SE # D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123464",
            "telephone_number": "410-409-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 BOULEVARD SE # D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123464",
            "telephone_number": "410-409-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PSYCHIATRIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "SIPP",
        "authorized_official_first_name": "NIA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "410-409-2348",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "74316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

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