Meghan Lynne Nunez, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY29805

Practice address

819 3Rd St
Santa Rosa, CA 95404-4545

Phone

(707) 303-8410

NPI assigned

Sep 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Meghan Lynne Azevedo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Individuals Now, Inc

  dba Social Advocates for Youth

  • Adolescent and Children Mental Health Clinic/Center
  • Santa Rosa, CA
  • NPI 1790822955
  NPD (past)
• Ywca Sonoma County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Rosa, CA
  • NPI 1902471394
  NPD (past)

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1093900680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1191",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954021191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 3RD ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044545",
            "telephone_number": "707-303-8410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 6th St",
            "address_purpose": "LOCATION",
            "city": "Point Reyes Station",
            "state": "CA",
            "postal_code": "94956",
            "country_code": "US",
            "telephone_number": "415-473-3825",
            "fax_number": "415-473-3828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 Standish Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954078113",
            "country_code": "US",
            "telephone_number": "707-585-6108 x1222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2447 Summerfield Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954057815",
            "country_code": "US",
            "telephone_number": "707-544-3299 x225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "MEGHAN",
        "middle_name": "LYNNE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": "PSY29805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "AZEVEDO",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacey L. Nuccion, MD
• Thomas J Nuckton, M.D.
• Yanet Nunez Galvan
• Gregory M. Nunez, MD
• Maria Deysi Nunez
• Octavio Nunez
• Rosalio Gabriel Nunez
• Valeria Gabriel Nunez
• Stanley J. Nussbaum, MD
• Sofia Nutter

• Psychologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.