Individual provider Active NPI

Megan Depuy, MBA, MS, CCC-SLP

  • Speech-Language Pathologist
  • San Mateo, CA
National Provider Identifier
1265970677
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15428 Issued in CA
Practice address
1100 S El Camino Real
Suite 5
San Mateo, CA 94402-2878
Phone
(650) 520-8296
NPI assigned
Feb 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 15428 CA Primary

Addresses

Primary practice location

1100 S El Camino Real
Suite 5
San Mateo, CA 94402-2878

Mailing address

2242 Ensenada Way
San Mateo, CA 94403-1230
Phone (650) 520-8296

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
Credentials
Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
15428CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1265970677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 ENSENADA WAY",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031230",
            "telephone_number": "650-520-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S EL CAMINO REAL",
            "address_2": "SUITE 5",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022878",
            "telephone_number": "650-520-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPUY",
        "first_name": "MEGAN",
        "name_prefix": "Mrs.",
        "credential": "MBA, MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.