Meridian Psychotherapy Associates of Massachusetts LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MERIDIAN PSYCHOTHERAPY ASSOCIATES OF MASSACHUSETTS LLC

Practice address

101 Arch St FL 8
Boston, MA 02110-7500

Phone

(617) 872-3612

Fax

(617) 608-5968

NPI assigned

Jul 19, 2022

Organization subpart

Yes

Parent organization

MERIDIAN HEALTH GROUP LLCAs reported in NPPES

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

Authorized official

Name

Penny Tavar, LICSWNPI 1053843318

Title

Managing Director

Phone

(617) 872-3612

Specialties & licenses 1

Addresses

Other names 1

• Meridian Psychotherapy Associates LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Meridian Psychotherapy Associates LLC2 organizations share this tax ID, including this one

Part of

Meridian Health Group LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Meridian Psychotherapy Associates of Connecticut LLC

  • Clinical Social Worker
  • Newtown, CT
  • NPI 1225668650
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Penny Tavar, LCSW

  • Clinical Social Worker
  • Newtown, CT
  • NPI 1053843318

  MA

  Medicare reassignment NPD Authorized official
• Jane Finley

  • Social Worker
  • Boston, MA
  • NPI 1942980552
  NPD (past)

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1619602000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990001",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021990001",
            "telephone_number": "617-872-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ARCH ST FL 8",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021107500",
            "telephone_number": "617-872-3612",
            "fax_number": "617-608-5968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Broad St Unit 5C",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021103420",
            "country_code": "US",
            "telephone_number": "617-872-3612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERIDIAN PSYCHOTHERAPY ASSOCIATES OF MASSACHUSETTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERIDIAN HEALTH GROUP LLC",
        "enumeration_date": "2022-07-19",
        "last_updated": "2023-04-05",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "TAVAR",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "617-872-3612",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@meridianpsy.com",
            "affiliation": "N",
            "endpointDescription": "Secure Inbox",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Broad St Unit 5C",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021103420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Meridian Psychotherapy Associates LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elisa Mereto
• Francoise Mereus-Blaise, NP
• Angela D. Mergel, PT
• Christina Merheb
• Meridian Billing Services LLC
• Sali Merjanah, M.D.
• Ross David Merkin, MD
• Chamilka Merle, MD
• Joseph Patrick Merlone, M.D.
• Carla Merlos Chindongo, PMHNP

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.