Individual provider Active NPI

Megan Ann Dervin

  • Behavior Technician
  • Omaha, NE
National Provider Identifier
1003782350
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2829 N 90TH St
Omaha, NE 68134-5774
Phone
(651) 431-6628
Fax
(919) 561-6612
NPI assigned
Oct 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

2829 N 90TH St
Omaha, NE 68134-5774

Mailing address

382 NE 191St St Ste 98090
Miami, FL 33179-3899
Phone (651) 431-6628

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomwell Behavioral Health Inc. Behavior Technician CurrentSince Oct 21, 2025 Accepting new patients
Bloomwell Behavioral Health Inc. Behavior Technician PastSince Oct 21, 2025 Accepting new patients

Locations

382 NE 191st St
Ste 98090
Miami, FL 33179
Phone (651) 431-6628

2829 N 90th St
Omaha, NE 68134
Phone (402) 819-4059

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1003782350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 NE 191ST ST STE 98090",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793899",
            "telephone_number": "651-431-6628",
            "fax_number": "919-561-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681345774",
            "telephone_number": "651-431-6628",
            "fax_number": "919-561-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERVIN",
        "first_name": "MEGAN",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.