Active NPI
Meghan Lori Feehan, PSY.D.
- Clinical Psychologist
- Summit, NJ
National Provider Identifier
1043532823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00476600
- Practice address
- 99 Beauvoir Ave
Eating Disorders Program
Summit, NJ 07901-3533 - Phone
- (908) 522-4866
- NPI assigned
- Feb 22, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 018067-1 | NY | |
| Clinical Psychologist | 103TC0700X | 35SI00476600 | NJ | Primary |
Addresses
Primary practice location
99 Beauvoir Ave
Eating Disorders Program
Summit, NJ 07901-3533
Mailing address
99 Beauvoir Ave
Eating Disorders Program
Summit, NJ 07901-3533
Phone (908) 522-4866
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00476600 | NJ | MD | Clinical Psychologist |
| 018067-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1043532823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 BEAUVOIR AVE",
"address_2": "EATING DISORDERS PROGRAM",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013533",
"telephone_number": "908-522-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 BEAUVOIR AVE",
"address_2": "EATING DISORDERS PROGRAM",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013533",
"telephone_number": "908-522-4866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEEHAN",
"first_name": "MEGHAN",
"middle_name": "LORI",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "018067-1",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00476600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.