Meridian Youth Psychiatric Center PC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MERIDIAN YOUTH PSYCHIATRIC CENTER PC

Practice address

210 E 91St St
Suite C
Indianapolis, IN 46240-1569

Phone

(317) 844-0055

Fax

(317) 571-5040

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Mimi Brittingham, RN APN LMHC

Title

Corporate Secretary Treasurer

Phone

(317) 844-0055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1801918065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 91ST ST",
            "address_2": "SUITE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401569",
            "telephone_number": "317-844-0055",
            "fax_number": "317-571-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 91ST ST",
            "address_2": "SUITE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401569",
            "telephone_number": "317-844-0055",
            "fax_number": "317-571-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN YOUTH PSYCHIATRIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BRITTINGHAM",
        "authorized_official_first_name": "MIMI",
        "authorized_official_title_or_position": "CORPORATE SECRETARY TREASURER",
        "authorized_official_telephone_number": "317-844-0055",
        "authorized_official_credential": "RN APN LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Star Medical LLC
• Meridian Street Periodontics, LLC
• Meridian Street Spine & Rehab, Inc.
• Meridian Therapy Group LLC
• Meridian Vision Center, LLC
• Thamara Merilus Saint Jean
• Charles E Meriweather, D.D.S.
• Alison Meriwether, LCSW
• Dannielle M Meriwether, RPH
• Philip F Merk, MD

• Adolescent and Children Mental Health Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Adolescent and Children Mental Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.