NPIMap

Organization Active NPI

Meridian Behavioral Health

  • Health Maintenance Organization
  • Minneapolis, MN
National Provider Identifier
1679864664
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MERIDIAN BEHAVIORAL HEALTH
Practice address
3329 University Ave SE
Minneapolis, MN 55414-3325
Phone
(612) 454-2260
Fax
(612) 454-2340
NPI assigned
Apr 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Ms. Nina Carole Junius, BCC, LADC
Title
Case Manager
Phone
(612) 454-2260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MN Primary

Addresses

Primary practice location

3329 University Ave SE
Minneapolis, MN 55414-3325

Mailing address

3329 University Ave SE
Minneapolis, MN 55414
Phone (612) 454-2260

Other names 1

  • Alliance Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Alliance Clinic6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1679864664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 UNIVERSITY AVE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55414",
            "telephone_number": "612-454-2260",
            "fax_number": "612-454-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 UNIVERSITY AVE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143325",
            "telephone_number": "612-454-2260",
            "fax_number": "612-454-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "JUNIUS",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "CAROLE",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "612-454-2260",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCC, LADC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.