Meta Neurology and Sleep LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

META NEUROLOGY AND SLEEP LLC

Practice address

12409 W Indian School Rd Ste A108
Avondale, AZ 85392-9503

Phone

(623) 328-7087

Fax

(623) 218-1337

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Aziz Mallik

Title

Partner

Phone

(623) 328-7087

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1689302242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12409 W INDIAN SCHOOL RD STE A108",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929503",
            "telephone_number": "623-328-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12409 W INDIAN SCHOOL RD STE A108",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929503",
            "telephone_number": "623-328-7087",
            "fax_number": "623-218-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "META NEUROLOGY AND SLEEP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "MALLIK",
        "authorized_official_first_name": "AZIZ",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "623-328-7087",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wade Arthur Mendenhall, DDS
• Criselle Ann Mendez
• Menm, LLC
• Merciful Behavioral Health Services LLC
• Merryminds Behavioral Home LLC
• Elizabeth Metzger, DNP, PMHNP
• MH4M Counseling and Education Center, PLLC
• Michael D Hummitzsch DDS PC
• Zacona Michaux, LAC
• Kennedy Reagann Milius

• Medical Specialty Clinic/Center in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.