Individual provider Active NPI

Megan Dufford, PSYD

  • Clinical Psychologist
  • Southampton, PA
National Provider Identifier
1063814283
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018604 Issued in PA
Practice address
928 Jaymor Rd Ste C-120
Southampton, PA 18966-3835
Phone
(215) 344-8187
NPI assigned
Sep 18, 2014
Last updated
Mar 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS018604 PA Primary

Addresses

Primary practice location

928 Jaymor Rd Ste C-120
Southampton, PA 18966-3835

Mailing address

928 Jaymor Rd Ste C-120
Southampton, PA 18966-3835
Phone (215) 344-8187

Other names 1

  • Megan Funston Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210003215 PA Practitioner - Clinical Psychologist 3274877725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6400 Brooktree CT
Suite 210
Wexford, PA 15090-9250
Phone (412) 253-7125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wayfaring Psychological Wellness, PLLC CurrentSince May 1, 2023 Accepting new patients

Locations

6400 Brooktree Ct
Ste 210
Wexford, PA 15090
Phone (412) 253-7125

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1063814283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 JAYMOR RD STE C-120",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663835",
            "telephone_number": "215-344-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 JAYMOR RD STE C-120",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663835",
            "telephone_number": "215-344-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFORD",
        "first_name": "MEGAN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "FUNSTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.