MERIDIAN ADVANCED PSYCHIATRY , LLC
NPI 1609412683
Psychiatry & Neurology - Addiction Medicine in Meridan, ID
NPI Status: Active since November 25, 2019
Contact Information
1672 S WOODSAGE AVE.
MERIDAN, ID
ZIP 83642
Phone: (208) 515-2273
Fax: (208) 515-2274
- Organization
- Psychiatry & Neurology
- Addiction Medicine
- Accepts Insurance
- CLIA Number: 13D2282027
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 05-15-2027
About MERIDIAN ADVANCED PSYCHIATRY , LLC
This page provides the complete NPI Profile along with additional information for Meridian Advanced Psychiatry , Llc, a provider established in Meridan, Idaho operating as a Psychiatry & Neurology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1609412683 assigned on November 2019. The practitioner's primary taxonomy code is 2084A0401X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kevin Hulsey (Ceo)
- NPI
- 1609412683
- Provider Name
- MERIDIAN ADVANCED PSYCHIATRY , LLC
- Entity Type
- Organization
- Location Address
- 1672 S WOODSAGE AVE. MERIDAN, ID 83642
- Location Phone
- (208) 515-2273
- Location Fax
- (208) 515-2274
- Mailing Address
- 1672 S WOODSAGE AVENUE SUITE #120 MERIDAN, ID 83642
- Mailing Phone
- (208) 515-2273
- Mailing Fax
- (208) 515-2274
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-25-2019
- Last Update Date
- 05-12-2020
- Code Navigator
Location Map
Secondary Locations
- 1660 S Woodsage Ave
Meridian, ID 83642
(208) 515-2273
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Addiction Medicine
- Taxonomy Code
- 2084A0401X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D2282027
- Facility Type
- Independent
- Certificate Effective Date
- May 16, 2025
- Certificate Expiration Date
- May 15, 2027
- Laboratory Director
- KYLE RONNAU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Meridian Advanced Psychiatry , Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1609412683, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609412683, enumerated as an "organization" on November 25, 2019.
The provider is located at 1672 S WOODSAGE AVE. MERIDAN, ID 83642 and the phone number is (208) 515-2273.
Psychiatry & Neurology with taxonomy code 2084A0401X and a focus in Addiction Medicine.
The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.
