Individual provider Active NPI

Meaghan Elizabeth Dilallo, PH.D.

  • Clinical Psychologist
  • Easton, MA
National Provider Identifier
1407087596
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9812 Issued in MA
Practice address
115 Main Street, Suite 2 a
Easton, MA 02356-1469
Phone
(508) 456-6287
Fax
(844) 766-2013
NPI assigned
Aug 6, 2009
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 9812 MA Primary

Addresses

Primary practice location

115 Main Street, Suite 2 a
Easton, MA 02356-1469

Mailing address

115 Main Street, Suite 2 a
Easton, MA 02356-1469
Phone (508) 456-6287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20161018001449 MA Practitioner - Clinical Psychologist 1153560859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

115 Main St
Suite 2a
North Easton, MA 02356-1469
Phone (508) 297-0863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
9812MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Psychology LLC Clinical CurrentSince Jul 23, 2016 Accepting new patients

Locations

115 Main St
Ste 2A
North Easton, MA 02356
Phone (508) 297-0863

Interoperability endpoints

  • Direct secure messaging: meaghan.dilalllo.1@11918.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1407087596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAIN STREET, SUITE 2 A",
            "city": "EASTON",
            "state": "MA",
            "postal_code": "023561469",
            "telephone_number": "508-456-6287",
            "fax_number": "844-766-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN STREET, SUITE 2 A",
            "city": "EASTON",
            "state": "MA",
            "postal_code": "023561469",
            "telephone_number": "508-456-6287",
            "fax_number": "844-766-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILALLO",
        "first_name": "MEAGHAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MA

Sources for this page

Verify at the official NPI Registry.