Mediterranean Mental Health Center, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20732 Issued in AZ

Legal business name

MEDITERRANEAN MENTAL HEALTH CENTER, INC.

Practice address

30 Acoma Blvd S
101-103
Lake Havasu City, AZ 86403-5957

Phone

(928) 680-0604

Fax

(928) 680-0605

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vasilios W. Kaperonis, M.D.NPI 1124214093

Title

President

Phone

(928) 680-0604

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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

• Vasilios W Kaperonis, M.D.

  • Psychiatry Physician
  • Lake Havasu City, AZ
  • NPI 1124214093
  Medicare reassignment NPD Authorized official
• Mirta I Kaperonis, LCSW

  • Counselor
  • Lake Havasu City, AZ
  • NPI 1689809600
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1619903986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ACOMA BLVD S",
            "address_2": "101-103",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035957",
            "telephone_number": "928-680-0604",
            "fax_number": "928-680-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ACOMA BLVD S",
            "address_2": "101-103",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035957",
            "telephone_number": "928-680-0604",
            "fax_number": "928-680-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDITERRANEAN MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "KAPERONIS",
        "authorized_official_first_name": "VASILIOS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-680-0604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "20732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy L McGuire, PTA
• Grayson Fleming McHargue, CRNA
• Judith A McKee, CRNA
• Colleen Lynn McShea, MS, CCC-SLP
• MD Health, Inc.
• Megan S K Wiese MD PC
• Michael J Melde, DMD
• Mesquite Medical Associates,LTD
• Stacey Lee Meyer, APRN
• Michael S Rosen PC

• Psychiatry Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.