Active NPI
Jennifer Meehan, ED.S.
- School Psychologist
- Irmo, SC
National Provider Identifier
1154721744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 258455
- Practice address
- 1 River Bottom Rd
Irmo, SC 29063-8630 - Phone
- (803) 476-4100
- NPI assigned
- Sep 2, 2014
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 258455 | SC | Primary |
Addresses
Primary practice location
1 River Bottom Rd
Irmo, SC 29063-8630
Mailing address
1 River Bottom Rd
Irmo, SC 29063-8630
Phone (803) 476-4100
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 |
|---|---|---|---|
| 258455 | SC | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1154721744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RIVER BOTTOM RD",
"city": "IRMO",
"state": "SC",
"postal_code": "290638630",
"telephone_number": "803-476-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RIVER BOTTOM RD",
"city": "IRMO",
"state": "SC",
"postal_code": "290638630",
"telephone_number": "803-476-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEHAN",
"first_name": "JENNIFER",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-02",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "258455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.