Organization Active NPI

Mealer Psychological,PLLC

  • Addiction (Substance Use Disorder) Psychologist
  • Memphis, TN
National Provider Identifier
1952502445
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
1838 Issued in TN
Legal business name
MEALER PSYCHOLOGICAL,PLLC
Practice address
1037 Cresthaven Rd
Memphis, TN 38119-3833
Phone
(901) 763-4357
Fax
(901) 767-4728
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Dr. Cynthia Ziegler Mealer, PH.D.
Title
Managing Partner
Phone
(901) 833-1746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0400X 1838 TN Primary

Addresses

Primary practice location

1037 Cresthaven Rd
Memphis, TN 38119-3833

Mailing address

PO Box 382801
Germantown, TN 38183-2801
Phone (901) 833-1746

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120210000674 TN Part B Supplier - Clinic/Group Practice 1355508821 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, TN

National Provider Directory

National Provider Directory

Locations

245 Germantown Bend Cv
Cordova, TN 38018
Phone (901) 212-9899

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1952502445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382801",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381832801",
            "telephone_number": "901-833-1746",
            "fax_number": "901-756-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 CRESTHAVEN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193833",
            "telephone_number": "901-763-4357",
            "fax_number": "901-767-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEALER PSYCHOLOGICAL,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "MEALER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ZIEGLER",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "901-833-1746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.