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MERIDIAN PSYCHOLOGICAL ASSOCIATESP.C. NPI 1821124801


NPI Information

NPI: 1821124801
Provider Name: MERIDIAN PSYCHOLOGICAL ASSOCIATES,P.C.
Classification: Psychologist - 103TH0100X
Entity Type: Organization

Specialization: Health Service

Address:
4401 CENTRAL AVE
INDIANAPOLIS, IN
ZIP 46205
Phone: (317) 923-2333
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MERIDIAN PSYCHOLOGICAL ASSOCIATES,P.C. is a health service psychologist in Indianapolis, IN. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). MERIDIAN PSYCHOLOGICAL ASSOCIATES,P.C. NPI is 1821124801. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4401 CENTRAL AVE
INDIANAPOLIS, IN
ZIP 46205-822
Phone: (317) 923-2333
Fax: (317) 923-2367

The provider's authorized official is Nadia Tucker .
The authorized official title is Practice Administrator and has the following contact phone number (317) 923-2333.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 3/3/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health57000016AINDIANANo
2103T00000XPsychologist57000016AINDIANANo
3103TF0200XPsychologistForensic57000016AINDIANANo
4363LP0808XNurse PractitionerPsychiatric/Mental Health57000016AINDIANANo
5103TC0700XPsychologistClinical57000016AINDIANANo
6103TH0100XPsychologistHealth Service57000016AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100461620AMEDICAIDINDIANA
2215040MEDICARE ID-TYPE UNSPECIFIEDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.