NPIMap

Organization Active NPI

Meridian Behavioral Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Chiefland, FL
National Provider Identifier
1780184994
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MERIDIAN BEHAVIORAL HEALTHCARE, INC.
Practice address
103 NE 1St St
Chiefland, FL 32626-0920
Phone
(800) 330-5615
Fax
(352) 244-0280
NPI assigned
Feb 14, 2018
Last updated
Oct 21, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MERIDIAN BEHAVIORAL HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

Name
Lauren Cohn
Title
SVP / Chief Performance Officer
Phone
(352) 374-5600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

103 NE 1St St
Chiefland, FL 32626-0920

Mailing address

1565 SW Williston Rd
Gainesville, FL 32608-4044
Phone (352) 374-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060502000237 FL Part B Supplier - Clinic/Group Practice 7517977812 Receives reassigned benefits from 99 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cross City, FL; Trenton, FL; Starke, FL; Palatka, FL; Ocala, FL; Macclenny, FL; Live Oak, FL; Lake City, FL…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Meridian Behavorial Hea

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1780184994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 SW WILLISTON RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084044",
            "telephone_number": "352-374-5600",
            "fax_number": "352-244-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 NE 1ST ST",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326260920",
            "telephone_number": "800-330-5615",
            "fax_number": "352-244-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN BEHAVIORAL HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERIDIAN BEHAVIORAL HEALTHCARE, INC.",
        "enumeration_date": "2018-02-14",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "COHN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "SVP / CHIEF PERFORMANCE OFFICER",
        "authorized_official_telephone_number": "352-374-5600"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chiefland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.