Meridian Behavioral Health-Twin Town

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

301859 Issued in MN

Legal business name

MERIDIAN BEHAVIORAL HEALTH-TWIN TOWN

Practice address

1706 University Ave W
Saint Paul, MN 55104-3614

Phone

(651) 645-3661

Fax

(651) 645-0959

NPI assigned

Apr 11, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Steve Branco, MA, LPC

Title

Director

Phone

(612) 326-7611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1871850123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043614",
            "telephone_number": "651-645-3661",
            "fax_number": "651-645-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043614",
            "telephone_number": "651-645-3661",
            "fax_number": "651-645-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN BEHAVIORAL HEALTH-TWIN TOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "BRANCO",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-326-7611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "301859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bekam Merdassa
• Emilia Kendrigan Meredith, MS, CGC
• Anaas Moncef Mergoum, MD
• Ruth N Merid, MD
• Meridian Behavioral Health
• Merkaba Integrative Psychiatry
• Merriam Park Acupuncture
• Merriam Park Psychological Services, PA
• Maureen Merriam, CRNA
• Merrick Community Services

• Substance Abuse Rehabilitation Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.