Individual provider Active NPI

Megan Elizabeth McMahon-Pietig, PH.D.

  • Clinical Psychologist
  • Highland Park, IL
National Provider Identifier
1114093242
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
1866 Sheridan Rd
216
Highland Park, IL 60035-2547
Phone
(847) 323-8615
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

1866 Sheridan Rd
216
Highland Park, IL 60035-2547

Mailing address

2044 Deerfield Rd
Highland Park, IL 60035-3711
Phone (847) 831-2923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040319000207 IL Practitioner - Clinical Psychologist 6103716329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

215 Revere Dr
Suite 1a
Northbrook, IL 60062-1556
Phone (847) 323-8615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Megan McMahon, LTD Clinical CurrentSince Dec 22, 2011 Accepting new patients
Psychosocial Oncology Partners in Health,LLC Clinical Past Accepting new patients

Locations

215 Revere Dr
Ste 1A
Northbrook, IL 60062
Phone (847) 323-8615

Organizations & group practices 2

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114093242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 DEERFIELD RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353711",
            "telephone_number": "847-831-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 SHERIDAN RD",
            "address_2": "216",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352547",
            "telephone_number": "847-323-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON-PIETIG",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.