Healthcare Provider Details

I. General information

NPI: 1639731375
Provider Name (Legal Business Name): MERU HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 S B ST
SAN MATEO CA
94401-4245
US

IV. Provider business mailing address

470 RAMONA ST
PALO ALTO CA
94301-1707
US

V. Phone/Fax

Practice location:
  • Phone: 833-940-1385
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NIKI KIDD
Title or Position: DIRECTOR
Credential:
Phone: 415-250-0968