Organization Active NPI

Meridian Mental Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yankton, SD
National Provider Identifier
1871267435
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MERIDIAN MENTAL HEALTH, LLC
Practice address
327 Broadway Ave Ste 15
Yankton, SD 57078-7800
Phone
(605) 661-6128
NPI assigned
Aug 5, 2021
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Dr. Joel V. Merkwan, PHDNPI 1699810879
Title
Clinical Psychologist/Owner
Phone
(605) 661-6128

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

327 Broadway Ave Ste 15
Yankton, SD 57078-7800

Mailing address

327 Broadway Ave Ste 15
Yankton, SD 57078-7800
Phone (605) 661-6128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210902000609 SD Part B Supplier - Clinic/Group Practice 4789080581 Receives reassigned benefits from 1 practitioner
Practice locations: Yankton, SD

National Provider Directory

National Provider Directory

Locations

327 Broadway Ave
Ste 15
Yankton, SD 57078
Phone (605) 661-6128

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1871267435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 BROADWAY AVE STE 15",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570787800",
            "telephone_number": "605-661-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BROADWAY AVE STE 15",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570787800",
            "telephone_number": "605-661-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "MERKWAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "605-661-6128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.