MERIDIAN PSYCHOTHERAPY, INC – NPI #1104036391
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Health Care Provider Taxonomy Code for Internal Medicine

MERIDIAN PSYCHOTHERAPY, INC is a provider located in VIRGINIA BEACH, VA. NPPES has assigned the NPI number 1104036391 to MERIDIAN PSYCHOTHERAPY, INC on May 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 16 years ago on May 21, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MERIDIAN PSYCHOTHERAPY, INC below.

NPI Profile for
MERIDIAN PSYCHOTHERAPY, INC

NPI Number
1104036391
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MERIDIAN PSYCHOTHERAPY, INC
Primary location
4509 WHITECHAPEL DR
VIRGINIA BEACH, VA 23455-6447
Phone: (757) 460-4655 Fax: (757) 460-7744
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL BOHAN
PRESIDENT
Phone: (757) 460-4655
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0401X
- Internal Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.