| Meridian Behavioral Health, Inc | |
|
4010 Dupont Cir Ste 419 Louisville KY 40207-4812 | |
| (502) 653-9019 | |
| Not Available |
| Full Name | Meridian Behavioral Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4010 Dupont Cir Ste 419, Louisville, Kentucky |
| Authorized Official Name and Position | Warren E Lambert (OWNER) |
| Authorized Official Contact | 5024096993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Behavioral Health, Inc 4010 Dupont Cir Ste 419 Louisville KY 40207-4837 Ph: (502) 409-6993 | Meridian Behavioral Health, Inc 4010 Dupont Cir Ste 419 Louisville KY 40207-4812 Ph: (502) 653-9019 |
| NPI Number | 1427569219 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 09/23/2019 |
| Medicare PECOS PAC ID | 6709149321 |
|---|---|
| Medicare Enrollment ID | O20180413000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427569219 | NPI | - | NPPES |
| 1427569219 | Other | KY | STATE |
| Provider Name | Hillary S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134388564 PECOS PAC ID: 9830265743 Enrollment ID: I20080828000587 |
| Provider Name | Shana Cassady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215240627 PECOS PAC ID: 4082730452 Enrollment ID: I20100923000700 |
| Provider Name | Charlie R Scheuerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861705543 PECOS PAC ID: 7810177599 Enrollment ID: I20110524000564 |
| Provider Name | Sarah Ann Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629445705 PECOS PAC ID: 4486962693 Enrollment ID: I20151007001449 |
| Provider Name | Warren E Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285837369 PECOS PAC ID: 1355650516 Enrollment ID: I20151029000752 |
| Provider Name | Reisha Lynn Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497189518 PECOS PAC ID: 3476863952 Enrollment ID: I20151112002681 |
| Provider Name | David Charles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629526983 PECOS PAC ID: 6406136670 Enrollment ID: I20161205000989 |
| Provider Name | Erica P Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780109181 PECOS PAC ID: 6901167378 Enrollment ID: I20180227001302 |
| Provider Name | Cynthia Hess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245374594 PECOS PAC ID: 2062516321 Enrollment ID: I20181119002380 |
| Provider Name | Erica Sonia Ranade |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1720492911 PECOS PAC ID: 8123487071 Enrollment ID: I20230710003335 |
| Provider Name | Amanda Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598389041 PECOS PAC ID: 1850796426 Enrollment ID: I20230927000608 |
| Provider Name | Leslie Chapman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023474608 PECOS PAC ID: 2860865573 Enrollment ID: I20231012003291 |
| Provider Name | Brittany M Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366093072 PECOS PAC ID: 7214389113 Enrollment ID: I20240116003830 |
| Provider Name | Jacqueline Michelle Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992204465 PECOS PAC ID: 0244682102 Enrollment ID: I20240117001003 |
| Provider Name | Tessa Johnston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336764414 PECOS PAC ID: 0648623918 Enrollment ID: I20240202001279 |
| Provider Name | Joseph Lynch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962175166 PECOS PAC ID: 5597108092 Enrollment ID: I20240212004231 |
| Provider Name | Brandon Bumbalough |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497200562 PECOS PAC ID: 7719321843 Enrollment ID: I20240216002645 |
| Provider Name | Elizabeth M Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932677176 PECOS PAC ID: 6305282963 Enrollment ID: I20240306002010 |
| Provider Name | Wanda Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043866411 PECOS PAC ID: 6103157110 Enrollment ID: I20240418001207 |
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