Active NPI
Megan Kay Higinbotham, PH.D.
- Clinical Child & Adolescent Psychologist
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 25550 Hawthorne Blvd Ste 316
Torrance, CA 90505-6832 - Phone
- (424) 757-4344
- NPI assigned
- Aug 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
25550 Hawthorne Blvd Ste 316
Torrance, CA 90505-6832
Mailing address
25550 Hawthorne Blvd Ste 316
Torrance, CA 90505-6832
Phone (424) 757-4344
Other practice location 1
40 Camelot Dr
Fond Du Lac, WI 54935-8049
Phone (920) 907-8201
Other practice location 2
801 Campus Dr
Fond Du Lac, WI 54935-1600
Phone (920) 929-2740
Other practice location 3
430 E Division St
Fond Du Lac, WI 54935-4597
Phone (920) 929-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Bay Family Counseling Corp. | Clinical Child & Adolescent | Current | Accepting new patients |
Locations
25550 Hawthorne Blvd
Ste 316
Torrance, CA 90505
Phone (310) 686-4867
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Child & Adolescent Psychologist
- Torrance, CA
- NPI 1407426638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1003398868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25550 HAWTHORNE BLVD STE 316",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905056832",
"telephone_number": "424-757-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25550 HAWTHORNE BLVD STE 316",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905056832",
"telephone_number": "424-757-4344"
}
],
"practiceLocations": [
{
"address_1": "40 Camelot Dr",
"address_purpose": "LOCATION",
"city": "Fond Du Lac",
"state": "WI",
"postal_code": "549358049",
"country_code": "US",
"telephone_number": "920-907-8201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Campus Dr",
"address_purpose": "LOCATION",
"city": "Fond Du Lac",
"state": "WI",
"postal_code": "549351600",
"country_code": "US",
"telephone_number": "920-929-2740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "430 E Division St",
"address_purpose": "LOCATION",
"city": "Fond Du Lac",
"state": "WI",
"postal_code": "549354597",
"country_code": "US",
"telephone_number": "920-929-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIGINBOTHAM",
"first_name": "MEGAN",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.