NPIMap

Organization Active NPI

Meridian Behavioral Health

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1992061311
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
303284 Issued in MN
Legal business name
MERIDIAN BEHAVIORAL HEALTH
Practice address
135 Colorado St E
Saint Paul, MN 55107-2244
Phone
(612) 454-2345
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Ms. Melissa Carol Heitzinger, LADC
Title
Chemical Dependency Counselor
Phone
(612) 454-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 303284 MN Primary

Addresses

Primary practice location

135 Colorado St E
Saint Paul, MN 55107-2244

Mailing address

135 Colorado St E
Saint Paul, MN 55107-2244
Phone (612) 454-2345

National Provider Directory

National Provider Directory
Tax ID family
Alliance Clinic6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

135 Colorado St E
Saint Paul, MN 55107
Phone (612) 454-2345

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1992061311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COLORADO ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072244",
            "telephone_number": "612-454-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COLORADO ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072244",
            "telephone_number": "612-454-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "HEITZINGER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "CHEMICAL DEPENDENCY COUNSELOR",
        "authorized_official_telephone_number": "612-454-2345",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "303284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

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