Individual provider Active NPI

Megan Wynne, MD

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1184650137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD423544 Issued in PA
Practice address
100 W Lehigh Ave
Cohmhar
Philadelphia, PA 19133-4039
Phone
(215) 203-3000
Fax
(215) 203-3078
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

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
Psychiatry Physician 2084P0800X MD423544 PA Primary

Addresses

Primary practice location

100 W Lehigh Ave
Cohmhar
Philadelphia, PA 19133-4039

Mailing address

PO Box 1361
Philadelphia, PA 19105-1361
Phone (215) 923-8947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070910000365 NY Practitioner - Psychiatry 0042303968 Reassigns benefits to 1 organization
I20170428000604 PA Practitioner - Psychiatry 0042303968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Drexel University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD Psychiatry Services PLLCGroup PAC ID 4082049036, 206 clinicians
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

109 W 27TH St
5S
New York, NY 10001-6208
Phone (833) 351-8255

2418 E York St
Philadelphia, PA 19125-3006
Phone (917) 634-5311

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Sep 18, 2022 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Sep 6, 2023 Accepting new patients
Family Practice & Counseling Services Network, Inc. Past Accepting new patients
North Shore Long Island Jewish Healthcare Past Accepting new patients

Locations

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

109 W 27th St
#55
New York, NY 10001

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

1900 Market St
Ofc 6167
Philadelphia, PA 19103

Organizations & group practices 4

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184650137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1361",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191051361",
            "telephone_number": "215-923-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W LEHIGH AVE",
            "address_2": "COHMHAR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191334039",
            "telephone_number": "215-203-3000",
            "fax_number": "215-203-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNNE",
        "first_name": "MEGAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD423544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.