Megan Ann Connell, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4050 Issued in NC

Practice address

15720 Brixham Hill Ave Ste 150
Charlotte, NC 28277-4785

Phone

(704) 970-4791

Fax

(704) 940-4794

NPI assigned

Sep 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthquest Innovative Therapeutics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
  • NPI 1669178513
  NPD Authorized official
• Cognitive Behavior Therapy Center

  • Psychologist
  • Chesapeake, VA
  • NPI 1861075988
  NPD
• Geek Therapeutics PLLC

  • Clinical Psychologist
  • Fort Worth, TX
  • NPI 1508503103
  NPD

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295068179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 BRIXHAM HILL AVE STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774785",
            "telephone_number": "704-970-4791",
            "fax_number": "704-970-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 BRIXHAM HILL AVE STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774785",
            "telephone_number": "704-970-4791",
            "fax_number": "704-940-4794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 Jefferson Ave",
            "address_2": "McDonald Army Health Center, BLDG 515",
            "address_purpose": "LOCATION",
            "city": "Fort Eustis",
            "state": "VA",
            "postal_code": "236041373",
            "country_code": "US",
            "telephone_number": "757-314-7558",
            "fax_number": "757-314-7979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "MEGAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60181879",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connections BWB Inc
• Connections Support Network, LLC
• Bryan Edward Connell, PHD
• Kaylen Alford Connell, M.S.
• Mary Catherine Connell
• Corey Connelly
• Margarita Elena Connelly, COTA/L
• Sara M Connelly, OT
• Sarah Connelly, PHARMD
• Alyssa Renee Conner, PHARMD

• Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.