Provider Demographics
NPI:1821293663
Name:NORTH MERIDIAN PSYCHIATRIC ASSOCIATES
Entity Type:Organization
Organization Name:NORTH MERIDIAN PSYCHIATRIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:317-663-7302
Mailing Address - Street 1:8710 N MERIDIAN ST
Mailing Address - Street 2:SUITE 100 C
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-5389
Mailing Address - Country:US
Mailing Address - Phone:317-663-7302
Mailing Address - Fax:317-735-9638
Practice Address - Street 1:8710 N MERIDIAN ST
Practice Address - Street 2:SUITE 100 C
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-5389
Practice Address - Country:US
Practice Address - Phone:317-663-7302
Practice Address - Fax:317-735-9638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34000955A1041C0700X
IN35001475A106H00000X
IN010385112084P0800X
IN28073621A364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Not Answered364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Multi-Specialty