Meridian Psychology Practice PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MERIDIAN PSYCHOLOGY PRACTICE PLLC

Practice address

2521 Raeford Rd Ste C-3
Fayetteville, NC 28305-5749

Phone

(910) 661-3993

Fax

(844) 522-0383

NPI assigned

Nov 7, 2025

Organization subpart

No

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

Authorized official

Name

Ellen Moore Boohar, PHDNPI 1619171162

Title

Owner/Licensed Psychologist

Phone

(910) 661-3993

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ellen Moore Boohar, PH.D.

  • Psychologist
  • Fayetteville, NC
  • NPI 1619171162
  NPD Authorized official

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1841160587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48081",
            "city": "CUMBERLAND",
            "state": "NC",
            "postal_code": "283318081",
            "telephone_number": "910-661-3993",
            "fax_number": "844-522-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 RAEFORD RD STE C-3",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055749",
            "telephone_number": "910-661-3993",
            "fax_number": "844-522-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PSYCHOLOGY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "BOOHAR",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "910-661-3993",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Mercado
• Mercy Home Medical Supply Inc.
• Mercy Home Medical Supply Inc.
• James Arthur Mergy, MD
• Kelly Fogarty Mergy, NP
• Krysti Darlene Meridieth, PHYSICIAN ASSISTANT
• Grace Lin Gammon Merrell, FNP
• Garold Ray Merrill II, PTA
• Denise S. Merritt, MA, LMFT-ASSOCIATE
• Mariah Hope Merritt

• All providers in Fayetteville, NC
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.