Active NPI
Meagan Etchells Lentz, PSY.D.
- Clinical Neuropsychologist
- Manchester, NH
National Provider Identifier
1073745899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1294
- Practice address
- 138 Webster St
Manchester, NH 03104-2512 - Phone
- (603) 645-5977
- NPI assigned
- Aug 12, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1294 | NH | Primary |
| Clinical Neuropsychologist | 103G00000X | 4343 | AZ |
Addresses
Primary practice location
138 Webster St
Manchester, NH 03104-2512
Mailing address
138 Webster St
Manchester, NH 03104-2512
Phone (603) 645-5977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140211000781 | NH | Practitioner - Clinical Psychologist | 8426287616 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Jwalant Vadalia MD PC
Practice addresses (Care Compare)
138 Webster St
Manchester, NH 03104-2512
Phone (603) 645-5977
Merit-based Incentive Payment System (MIPS)
- Final score
- 50.01 of 100
- Quality
- 7.83
- Improvement activities
- 40
- Cost
- 80.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4343 | AZ | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jwalant Vadalia MD PC | Current | Accepting new patients |
Locations
138 Webster St
Manchester, NH 03104
Phone (603) 645-5977
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1073745899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 WEBSTER ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031042512",
"telephone_number": "603-645-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 WEBSTER ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031042512",
"telephone_number": "603-645-5977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENTZ",
"first_name": "MEAGAN",
"middle_name": "ETCHELLS",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-12",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NH",
"license": "1294",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AZ",
"license": "4343",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.