Active NPI
Megan Ann Dervin
- Behavior Technician
- Omaha, NE
National Provider Identifier
1003782350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomwell Behavioral Health Inc. | Behavior Technician | Current | Accepting new patients |
| Bloomwell Behavioral Health Inc. | Behavior Technician | Past | 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.