Individual provider Active NPI

Megan Brannan, PHD

  • Counseling Psychologist
  • Houston, TX
National Provider Identifier
1225480387
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
36670 Issued in TX
Practice address
2425 Fountain View Dr
Suite 270
Houston, TX 77057-4823
Phone
(940) 231-1533
NPI assigned
Jul 12, 2016
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 36670 TX Primary

Addresses

Primary practice location

2425 Fountain View Dr
Suite 270
Houston, TX 77057-4823

Mailing address

2439 Sunset Blvd
Houston, TX 77005-1431
Phone (832) 245-0588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231129000066 TX Practitioner - Clinical Psychologist 6608224886 Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12720 Hillcrest Rd
Suite 320
Dallas, TX 75230-2169
Phone (832) 245-0588

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36670TXMDDentist Anesthesiologist

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1225480387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 SUNSET BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051431",
            "telephone_number": "832-245-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 FOUNTAIN VIEW DR",
            "address_2": "SUITE 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574823",
            "telephone_number": "940-231-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNAN",
        "first_name": "MEGAN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "36670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.