Organization Active NPI

Meridian Iop PLC

  • Adult Mental Health Clinic/Center
  • Colchester, VT
National Provider Identifier
1972166809
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MERIDIAN IOP PLC
Practice address
462 Hegeman Ave Ste 100
Colchester, VT 05446-3187
Phone
(802) 489-7235
Fax
(802) 497-1321
NPI assigned
Apr 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Mr. Peter Andrea Guarco, MS
Title
PLC Member
Phone
(802) 489-7235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

462 Hegeman Ave Ste 100
Colchester, VT 05446-3187

Mailing address

462 Hegeman Ave Ste 100
Colchester, VT 05446-3187
Phone (802) 489-7235

National Provider Directory

National Provider Directory

Locations

462 Hegeman Ave
Ste 100
Colchester, VT 05446
Phone (802) 489-7235

Practitioners & affiliated clinicians

Practitioners 2

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": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1972166809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 HEGEMAN AVE STE 100",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463187",
            "telephone_number": "802-489-7235",
            "fax_number": "802-497-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 HEGEMAN AVE STE 100",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463187",
            "telephone_number": "802-489-7235",
            "fax_number": "802-497-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN IOP PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "GUARCO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "PLC MEMBER",
        "authorized_official_telephone_number": "802-489-7235",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.