MERIDIAN ADVANCED PSYCHIATRY , LLC – NPI #1609412683
Psychiatry & Neurology

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Health Care Provider Taxonomy Code for Psychiatry & Neurology

MERIDIAN ADVANCED PSYCHIATRY , LLC is a psychiatry & neurologist located in MERIDAN, ID. NPPES has assigned the NPI number 1609412683 to MERIDIAN ADVANCED PSYCHIATRY , LLC on November 25, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine

The NPI profile was previously updated about 6 years ago on May 12, 2020. 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 ADVANCED PSYCHIATRY , LLC below.

NPI Profile for
MERIDIAN ADVANCED PSYCHIATRY , LLC

NPI Number
1609412683
Enumeration Date

(more than 6 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 ADVANCED PSYCHIATRY , LLC
Primary location
1672 S WOODSAGE AVE.
MERIDAN, ID 83642
Phone: (208) 515-2273 Fax: (208) 515-2274
1 Other location(s):
1660 S Woodsage Ave
Meridian, ID 83642-7670
Phone: (208) 515-2273
Fax: (208) 515-2274
Mailing address
1672 S WOODSAGE AVENUE
SUITE #120
MERIDAN, ID 83642
Phone: (208) 515-2273 Fax: (208) 515-2274
Organization Subpart
No
Authorized Official
KEVIN HULSEY
CEO
Phone: (208) 789-0202
Updated
Certification Date
May 12, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2084A0401X
- Psychiatry & Neurology / 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.