MERIDIAN BEHAVIORAL HEALTH, INC (NPI# 1427569219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427569219 |
| Entity Type | Organization |
| Organization Name | MERIDIAN BEHAVIORAL HEALTH, INC |
| Practice Address |
4010 Dupont Cir Ste 419 Louisville KY 40207-4812 |
| Mailing Address |
4010 Dupont Cir Ste 419 Louisville KY 40207-4837 |
| Practice Telephone | 5026539019 |
| Mailing Telephone | 5024096993 |
| Mailing Fax Number | 5024096993 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | MR. WARREN E LAMBERT (OWNER) |
| Authorized Official Telephone | 5024096993 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | STATE | 1427569219 | 01 |
| Street Address |
4010 DUPONT CIR STE 419 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134336449 | John M Papanek | Social Worker | 4010 Dupont Cir Ste 419, Louisville, KY 40207-4837 | 2007-05-17 |
| 1285837369 | Warren E Lambert IIi | Psychologist | 4010 Dupont Cir Ste 419, Louisville, KY 40207-4837 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730532 | Reflection In Practice Counseling and Consultation | Clinic/Center | 1355 Bardstown Rd, Louisville, KY 40204-1353 | 2020-11-03 |
| 1568069326 | Evolve Lou Counseling | Clinic/Center | 1309 Cecil Ave, Louisville, KY 40211-2418 | 2020-10-05 |
| 1356987929 | Faraday Kentucky, LLC | Clinic/Center | 10000 Shelbyville Rd Ste 101, Louisville, KY 40223-2973 | 2019-11-19 |
| 1275010449 | Inspire&empower LLC | Clinic/Center | 1169 Eastern Pkwy Ste 2339, Louisville, KY 40217-1415 | 2018-07-20 |
| 1295233948 | Thrive Therapy LLC | Clinic/Center | 13000 Equity Pl Ste 106, Louisville, KY 40223-3976 | 2018-01-29 |
| 1952621005 | Lifeworks of Kentucky | Clinic/Center | 1531 Ormsby Station Ct, Louisville, KY 40223-4019 | 2010-06-10 |
| 1528670320 | Allison King, Lpcc, LLC | Clinic/Center | 1949 Goldsmith Ln Ste 103, Louisville, KY 40218-3096 | 2020-08-21 |
| 1285272088 | Heartwood Therapy Place LLC | Clinic/Center | 1941 Bishop Ln Ste 1019, Louisville, KY 40218-1928 | 2019-12-12 |
| 1669967287 | Fresh Routes Incorporated | Clinic/Center | 3146 W Broadway, Louisville, KY 40211-1441 | 2018-06-26 |
| 1902309214 | Chandler Behavioral Health Resources | Clinic/Center | 9400 Williamsburg Plz, Louisville, KY 40222-5093 | 2018-03-13 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on MERIDIAN BEHAVIORAL HEALTH, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.