| Meridian Mental Health, Llc | |
|
327 Broadway Ave Ste 15 Yankton SD 57078-7800 | |
| (605) 661-6128 | |
| Not Available |
| Full Name | Meridian Mental Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 327 Broadway Ave Ste 15, Yankton, South Dakota |
| Authorized Official Name and Position | Joel V. Merkwan (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 6056616128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Mental Health, Llc 327 Broadway Ave Ste 15 Yankton SD 57078-7800 Ph: (605) 661-6128 | Meridian Mental Health, Llc 327 Broadway Ave Ste 15 Yankton SD 57078-7800 Ph: (605) 661-6128 |
| NPI Number | 1871267435 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Medicare PECOS PAC ID | 4789080581 |
|---|---|
| Medicare Enrollment ID | O20210902000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871267435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Joel V Merkwan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699810879 PECOS PAC ID: 7618070889 Enrollment ID: I20100831000699 |
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