Active NPI
Megan Nicoloff, PSY.D.
- Clinical Neuropsychologist
- Salem, OR
National Provider Identifier
1346323219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1691
- Practice address
- 161 High St SE
Suite 206 C
Salem, OR 97301-3660 - Phone
- (503) 364-4039
- Fax
- (503) 364-4059
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1691 | OR | Primary |
Addresses
Primary practice location
161 High St SE
Suite 206 C
Salem, OR 97301-3660
Mailing address
161 High St SE
Suite 206 C
Salem, OR 97301-3660
Phone (503) 364-4039
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1691 | OR | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346323219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 HIGH ST SE",
"address_2": "SUITE 206 C",
"city": "SALEM",
"state": "OR",
"postal_code": "973013660",
"telephone_number": "503-364-4039",
"fax_number": "503-364-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 HIGH ST SE",
"address_2": "SUITE 206 C",
"city": "SALEM",
"state": "OR",
"postal_code": "973013660",
"telephone_number": "503-364-4039",
"fax_number": "503-364-4059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLOFF",
"first_name": "MEGAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "OR",
"license": "1691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.