Individual provider Active NPI

Megan Storey Hallam, ED.D

  • School Psychologist
  • Boulder, CO
National Provider Identifier
1205569340
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
361288 Issued in CO
Practice address
4192 Westcliffe CT
Boulder, CO 80301-1759
Phone
(571) 279-2367
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 361288 CO Primary

Addresses

Primary practice location

4192 Westcliffe CT
Boulder, CO 80301-1759

Mailing address

4192 Westcliffe CT
Boulder, CO 80301-1759

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address megan.hallam@presencelearning.com

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

LicenseStateTypeSpecialty
361288COMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1205569340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4192 WESTCLIFFE CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4192 WESTCLIFFE CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011759",
            "telephone_number": "571-279-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLAM",
        "first_name": "MEGAN",
        "middle_name": "STOREY",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CO",
            "license": "361288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "megan.hallam@presencelearning.com",
            "affiliation": "N",
            "address_1": "4192 Westcliffe Ct",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803011759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.