Individual provider Active NPI

Maureen E. Tiernan-Meech, PSYD

  • Clinical Psychologist
  • Coeur d'Alene, ID
National Provider Identifier
1982617189
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5568 Issued in FL
Practice address
509 W. Hanley Ave
Ste 101
Coeur D'Alene, ID 83815-8994
Phone
(208) 666-0357
Fax
(208) 666-0468
NPI assigned
Aug 15, 2006
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY5568 FL Primary

Addresses

Primary practice location

509 W. Hanley Ave
Ste 101
Coeur D'Alene, ID 83815-8994

Mailing address

509 W. Hanley Ave
Ste 101
Coeur D'Alene, ID 83815-8994
Phone (208) 666-0357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130308000234 ID Practitioner - Clinical Psychologist 3779561485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jeffery T Meech PSYD PAGroup PAC ID 4587642202, 2 clinicians

Practice addresses (Care Compare)

509 W Hanley Ave
Suite 101
Coeur D Alene, ID 83815-8994
Phone (208) 666-0357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY5568FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffery T. Meech, PSYD, PA Clinical CurrentSince Dec 8, 2012 Accepting new patients
Melissa R Fogel, LLC Clinical PastSince May 18, 2025 Accepting new patients

Locations

2161 Palm Beach Lakes Blvd
Ste 215
West Palm Beach, FL 33409
Phone (561) 687-2111

296 W Sunset Ave
Ste 15
Coeur D Alene, ID 83815
Phone (208) 666-0357

509 W Hanley Ave
Ste 101
Coeur D Alene, ID 83815
Phone (208) 666-0357

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1982617189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W. HANLEY AVE",
            "address_2": "STE 101",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838158994",
            "telephone_number": "208-666-0357",
            "fax_number": "208-666-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W. HANLEY AVE",
            "address_2": "STE 101",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838158994",
            "telephone_number": "208-666-0357",
            "fax_number": "208-666-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNAN-MEECH",
        "first_name": "MAUREEN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.