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MERIDIAN NEUROPSYCHOLOGY PLLC
NPI 1114321163
Clinical Neuropsychologist in Meridian, ID

Active since October 20, 2014
3061 S MERIDIAN RD, STE 100, MERIDIAN, ID 83642(208) 895-9852(208) 629-1231 Get Directions Write a Review

NPPES record last updated: May 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Meridian Neuropsychology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERIDIAN NEUROPSYCHOLOGY PLLC (NPI 1114321163) is a healthcare organization registered as a clinical neuropsychologist in Meridian, Idaho and active in the NPI registry since October 2014. The organization lists Jason Southwick, Manager, as its authorized official.

NPPES Registry Identity

NPI1114321163
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameMERIDIAN NEUROPSYCHOLOGY PLLC
Location Address3061 S MERIDIAN RD, STE 100Meridian, ID 83642-7962
Mailing Address3597 E Monarch Sky Ln Ste 240Meridian, ID 83646-1055 · (208) 391-7274 · Fax (208) 629-1231
Phone(208) 895-9852
Fax(208) 629-1231
Organization SubpartNo
Authorized OfficialJason SouthwickManager · (208) 895-9852
Enumeration DateOctober 20, 2014
Last NPPES UpdateMay 18, 2024
NPPES CertifiedMay 18, 2024
✔ NPI 1114321163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in ID · PSY-202728
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY-202728 (ID)
3061 S MERIDIAN RD, Meridian, ID 83642
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meridian Neuropsychology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Meridian Neuropsychology PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jason Southwick, PH.D.
Clinical Psychologist
NPI 1538412382
1055 N CURTIS RD
Boise, ID 83706
(208) 367-2121
✔ PECOS✔ Accepts Medicare7.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Meridian Neuropsychology PLLC's NPI number?

The NPI number for Meridian Neuropsychology PLLC is 1114321163. It was assigned to this organization in the NPPES registry on October 20, 2014.

Where is Meridian Neuropsychology PLLC located?

Meridian Neuropsychology PLLC is located at 3061 S Meridian Rd Ste 100, Meridian, ID 83642. The listed phone number is (208) 895-9852.

What is Meridian Neuropsychology PLLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Meridian Neuropsychology PLLC enrolled in Medicare?

Yes. Meridian Neuropsychology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Meridian Neuropsychology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Meridian Neuropsychology PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Meridian Neuropsychology PLLC accept?

Health plans from Molina Healthcare list Meridian Neuropsychology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Meridian Neuropsychology PLLC was last updated on May 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.