Active NPI
Megan Puyau, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- El Segundo, CA
National Provider Identifier
1003523838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95021139
- Practice address
- 390 N Pacific Coast Hwy Ste 2060
El Segundo, CA 90245-4401 - Phone
- (855) 427-2778
- Fax
- (424) 277-6085
- NPI assigned
- Nov 1, 2022
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95021139 | CA | Primary |
Addresses
Primary practice location
390 N Pacific Coast Hwy Ste 2060
El Segundo, CA 90245-4401
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (916) 576-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95021139 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark David Levine M.D. Professional Corporation | Psychiatric/Mental Health | Current | Accepting new patients |
| Mark David Levine, MD Burlingame PC | Current | Accepting new patients |
Locations
390 N Pacific Coast Hwy
Ste 2060
El Segundo, CA 90245
4553 Glencoe Ave
Ste 315
Marina del Rey, CA 90292
3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1154697944
Psychiatric/Mental Health
-
- Psychiatry Physician
- San Mateo, CA
- NPI 1770709263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1003523838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 N FREEWAY BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341954",
"telephone_number": "916-576-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 N PACIFIC COAST HWY STE 2060",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454401",
"telephone_number": "855-427-2778",
"fax_number": "424-277-6085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUYAU",
"first_name": "MEGAN",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95021139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.