| Meridian Psychological Associates,p.c. | |
|
4401 Central Ave Indianapolis IN 46205-1822 | |
| (317) 923-2333 | |
| (317) 923-2367 |
| Full Name | Meridian Psychological Associates,p.c. |
|---|---|
| Speciality | Psychologist |
| Location | 4401 Central Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Nadia Tucker (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3179232333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Psychological Associates,p.c. 4401 Central Ave Indianapolis IN 46205-1822 Ph: (317) 923-2333 | Meridian Psychological Associates,p.c. 4401 Central Ave Indianapolis IN 46205-1822 Ph: (317) 923-2333 |
| NPI Number | 1821124801 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 03/03/2016 |
| Medicare PECOS PAC ID | 8022009133 |
|---|---|
| Medicare Enrollment ID | O20040519000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821124801 | NPI | - | NPPES |
| 100461620A | Medicaid | IN |
| Provider Name | Dennis M Greene |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699813634 PECOS PAC ID: 7113083676 Enrollment ID: I20090309000037 |
| Provider Name | Elgan L Baker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740316736 PECOS PAC ID: 3173514296 Enrollment ID: I20090319000002 |
| Provider Name | Edgar G Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124157995 PECOS PAC ID: 1557428422 Enrollment ID: I20090319000520 |
| Provider Name | Janine L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033245931 PECOS PAC ID: 2264662014 Enrollment ID: I20140224001089 |
| Provider Name | Kevin Lee Rand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619449329 PECOS PAC ID: 3779822382 Enrollment ID: I20190226002276 |
| Provider Name | Melissa K Puthran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386169506 PECOS PAC ID: 4082048939 Enrollment ID: I20191231000063 |
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