| Meridian Behavioral Health Inc | |
|
3908 Carlisle Blvd Ne Albuquerque NM 87107-4504 | |
| (505) 903-0927 | |
| Not Available |
| Full Name | Meridian Behavioral Health Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3908 Carlisle Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Madeleine Wilson (PRESIDENT) |
| Authorized Official Contact | 5059030927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Behavioral Health Inc 301 San Andres Ave Nw Albuquerque NM 87107-3950 Ph: (505) 903-0927 | Meridian Behavioral Health Inc 3908 Carlisle Blvd Ne Albuquerque NM 87107-4504 Ph: (505) 903-0927 |
| NPI Number | 1003458357 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Medicare PECOS PAC ID | 5597167270 |
|---|---|
| Medicare Enrollment ID | O20210719000647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003458357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Secondary |
| Provider Name | Madeleine Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316383540 PECOS PAC ID: 2668714569 Enrollment ID: I20190424002803 |
| Provider Name | Stacia Roum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801427695 PECOS PAC ID: 0345653671 Enrollment ID: I20210106001127 |
| Provider Name | Ricki Lee Bloom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588077416 PECOS PAC ID: 0941670640 Enrollment ID: I20221221000266 |
| Provider Name | Laurie Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700661055 PECOS PAC ID: 2163861014 Enrollment ID: I20240411004342 |
| Provider Name | Georgia De Katona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164254546 PECOS PAC ID: 7315473998 Enrollment ID: I20241205002722 |
| Provider Name | Fizz August Ehlert Perkal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154045904 PECOS PAC ID: 5496265316 Enrollment ID: I20251117002399 |
| Provider Name | Gena Lawson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144958844 PECOS PAC ID: 6800370289 Enrollment ID: I20260324002558 |
| Provider Name | Emma Gamelsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528720687 PECOS PAC ID: 1759865165 Enrollment ID: I20260324002904 |
| Provider Name | Lindsay Sledge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447964747 PECOS PAC ID: 4880179258 Enrollment ID: I20260402003250 |
Integrated Healthcare of New Mexico Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7632 William Moyers Ave Ne, Albuquerque, NM 87122 Phone: 505-554-1716 Fax: 505-792-5222 |
Lotus Behavioral Health LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4010 Carlisle Blvd Ne, Albuquerque, NM 87107 Phone: 401-954-1397 |
Choices Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3620 Wyoming Blvd Ne, Suite L3, Albuquerque, NM 87111 Phone: 505-730-6791 Fax: 505-814-5740 |
Broken Arrow Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Simon Ln Sw, Albuquerque, NM 87105 Phone: 505-818-7934 |
Mind Over Matters Holistic Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 Palomas Dr Ne, Albuquerque, NM 87110 Phone: 505-459-6980 |
Solamente Holistic Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 833 Lomas Blvd Nw, Albuquerque, NM 87102 Phone: 505-243-6353 |