Active NPI
John Charles Meidlinger, PHD
- Clinical Psychologist
- Grand Island, NE
National Provider Identifier
1952381915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 195
- Practice address
- 207 N Pine
Suite 100
Grand Island, NE 68801 - Phone
- (308) 384-9594
- Fax
- (308) 384-0446
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 195 | NE | Primary |
Addresses
Primary practice location
207 N Pine
Suite 100
Grand Island, NE 68801
Mailing address
207 N Pine
Suite 100
Grand Island, NE 68801
Phone (308) 384-9594
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47074664300 | Medicaid | NE | |
| 08100 | Other | NE | BLUE CROSS |
| 5047 | Other | NE | MIDLANDS CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195 | NE | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1952381915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N PINE",
"address_2": "SUITE 100",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "68801",
"telephone_number": "308-384-9594",
"fax_number": "308-384-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 N PINE",
"address_2": "SUITE 100",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "68801",
"telephone_number": "308-384-9594",
"fax_number": "308-384-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEIDLINGER",
"first_name": "JOHN",
"middle_name": "CHARLES",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NE",
"license": "195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47074664300",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "08100",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "5047",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.