Individual provider Active NPI

Megan Brubaker

  • Psychologist
  • Cupertino, CA
National Provider Identifier
1306535059
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY34146 Issued in CA
Practice address
15150 Montebello Rd
Cupertino, CA 95014
Phone
(408) 857-3945
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY34146 CA Primary

Addresses

Primary practice location

15150 Montebello Rd
Cupertino, CA 95014

Mailing address

2310 Homestead Road Suite C1 #507
Los Altos, CA 95014

Other practice location 1

2542 S Bascom Ave #100
San Jose, CA 95008
Phone (408) 782-4299

Other practice location 2

3880 S. Bascom Ave Suite 212
San Jose, CA 95124
Phone (408) 782-4299

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
PSY34146CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Denali Psychological Services CurrentSince Jul 16, 2023 Accepting new patients
Los Gatos Therapy Center PastSince Apr 17, 2022 Accepting new patients
LGTC Group Psychologist PastSince May 20, 2025 Accepting new patients
LGTC Inc PastSince Feb 1, 2024 Accepting new patients
WK Medical Group PastSince Apr 6, 2016 Accepting new patients

Locations

2310 Homestead Rd
Ste C1
Los Altos, CA 94024
Phone (650) 248-3112

3880 S Bascom Ave
Ste 212
San Jose, CA 95124
Phone (408) 377-7099

Organizations & group practices 5

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": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1306535059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HOMESTEAD ROAD SUITE C1 #507",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "95014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15150 MONTEBELLO RD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "95014",
            "telephone_number": "408-857-3945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2542 S Bascom Ave #100",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95008",
            "country_code": "US",
            "telephone_number": "408-782-4299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3880 S. Bascom Ave Suite 212",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95124",
            "country_code": "US",
            "telephone_number": "408-782-4299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY34146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.