Active NPI
Megan R Dicken, ATC
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Birmingham, AL
National Provider Identifier
1104035070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- License
- 772
- Practice address
- 806 Saint Vincents Dr
WCC Ste. 620
Birmingham, AL 35205-1684 - Phone
- (205) 939-1557
- NPI assigned
- May 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | 772 | AL | Primary |
Addresses
Primary practice location
806 Saint Vincents Dr
WCC Ste. 620
Birmingham, AL 35205-1684
Mailing address
3212 Westbrook Dr
#102
Birmingham, AL 35216-4239
Phone (404) 394-3383
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 772 | AL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Associates, LLC | Past | Accepting new patients |
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.
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- NPI 1033886486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104035070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3212 WESTBROOK DR",
"address_2": "#102",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352164239",
"telephone_number": "404-394-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 SAINT VINCENTS DR",
"address_2": "WCC STE. 620",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051684",
"telephone_number": "205-939-1557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKEN",
"first_name": "MEGAN",
"middle_name": "R",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "AL",
"license": "772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.