Individual provider Active NPI

Megan Chandler

  • Psychologist
  • Pueblo, CO
National Provider Identifier
1225500994
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY.0004638 Issued in CO
Practice address
41 Montebello Rd Ste LL1
Pueblo, CO 81001-1379
Phone
(719) 545-2746
Fax
(719) 545-4100
NPI assigned
Dec 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY.0004638 CO Primary

Addresses

Primary practice location

41 Montebello Rd Ste LL1
Pueblo, CO 81001-1379

Mailing address

41 Montebello Rd Ste 204
Pueblo, CO 81001-1366
Phone (719) 545-2746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20190205001236 CO Practitioner - Clinical Psychologist 4880932508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health SolutionsGroup PAC ID 0143110668, 39 clinicians

Practice addresses (Care Compare)

1302 Chinook LN
Pueblo, CO 81001-1851
Phone (719) 545-2746

1304 Chinook LN
Pueblo, CO 81001-1851
Phone (719) 545-2746

1310 Chinook LN
Pueblo, CO 81001-1851
Phone (719) 545-2746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0004638COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Solutions CurrentSince Jan 2, 2019 Accepting new patients
Health Solutions Current Accepting new patients
Health Solutions CurrentSince Jan 2, 2019 Accepting new patients

Locations

41 Montebello Rd
Lowr 1
Pueblo, CO 81001

41 Montebello Rd
Ste 204
Pueblo, CO 81001
Phone (719) 423-1341

1302 Chinook Ln
Pueblo, CO 81001

2003 E 4th St
Pueblo, CO 81001
Phone (719) 544-6373

41 Montebello Rd
Lowr LL1
Pueblo, CO 81001

41 Montebello Rd
Ste 202
Pueblo, CO 81001
Phone (719) 423-1341

1304 Chinook Ln
Pueblo, CO 81001
Phone (719) 562-3222

1012 W Abriendo Ave
Pueblo, CO 81004
Phone (719) 583-2207

41 Montebello Rd
Ste 100
Pueblo, CO 81001

1310 Chinook Ln
Pueblo, CO 81001

41 Montebello Rd
Ste LL1
Pueblo, CO 81001
Phone (719) 543-7115

41 Montebello Rd
Ste 116
Pueblo, CO 81001
Phone (719) 423-1500

910 E Main St
Trinidad, CO 81082
Phone (719) 631-3370

417 S Indiana Ave
Trinidad, CO 81082
Phone (719) 846-4416

926 Russell Ave
Walsenburg, CO 81089
Phone (719) 738-2386

Organizations & group practices 3

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": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1225500994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE 204",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011366",
            "telephone_number": "719-545-2746",
            "fax_number": "719-545-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE LL1",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011379",
            "telephone_number": "719-545-2746",
            "fax_number": "719-545-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0004638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.