Organization Active NPI

Meridiem Psychological Services, Inc

  • Professional Counselor
  • Benton, AR
National Provider Identifier
1851179287
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MERIDIEM PSYCHOLOGICAL SERVICES, INC
Practice address
125 1/2 N Market St
Benton, AR 72015-3768
Phone
(501) 765-9525
Fax
(501) 745-2378
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Rosemary BurnsNPI 1437300761
Title
Lpe-I
Phone
(501) 765-9525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

125 1/2 N Market St
Benton, AR 72015-3768

Mailing address

125 1/2 N Market St
Benton, AR 72015-3768
Phone (501) 765-9525

National Provider Directory

National Provider Directory

Locations

125 N Market St
Benton, AR 72015
Phone (501) 317-6007

125 1/2 N Market St
Benton, AR 72015

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1851179287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 1/2 N MARKET ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153768",
            "telephone_number": "501-765-9525",
            "fax_number": "501-745-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 1/2 N MARKET ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153768",
            "telephone_number": "501-765-9525",
            "fax_number": "501-745-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIEM PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "LPE-I",
        "authorized_official_telephone_number": "501-765-9525"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.