| The Meridian Group Of Chesterfield | |
|
10109 Krause Rd Suite 100 Chesterfield VA 23832-6501 | |
| (804) 751-8644 | |
| (804) 751-0648 |
| Full Name | The Meridian Group Of Chesterfield |
|---|---|
| Speciality | Psychologist |
| Location | 10109 Krause Rd, Chesterfield, Virginia |
| Authorized Official Name and Position | John Patrick Dwyer (PH.D.) |
| Authorized Official Contact | 8047518644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Meridian Group Of Chesterfield 10109 Krause Rd Suite 100 Chesterfield VA 23832-6501 Ph: (804) 751-8644 | The Meridian Group Of Chesterfield 10109 Krause Rd Suite 100 Chesterfield VA 23832-6501 Ph: (804) 751-8644 |
| NPI Number | 1467476093 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 03/16/2020 |
| Certification Date | 03/16/2020 |
| Medicare PECOS PAC ID | 7416327655 |
|---|---|
| Medicare Enrollment ID | O20230103002719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467476093 | NPI | - | NPPES |
| 252743000 | Other | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Chelsi Simmons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851764831 PECOS PAC ID: 9032562830 Enrollment ID: I20240129001413 |
| Provider Name | Jill R. Sexton-newton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356485031 PECOS PAC ID: 2062865868 Enrollment ID: I20240129001704 |
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