Individual provider Active NPI

Megan McDonnell, PSYD

  • Psychologist
  • Southern Pines, NC
National Provider Identifier
1417364209
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5390 Issued in NC
Practice address
225 N Bennett St Ste F
Southern Pines, NC 28387-4810
Phone
(910) 408-2525
Fax
(888) 546-3945
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5390 NC Primary

Addresses

Primary practice location

225 N Bennett St Ste F
Southern Pines, NC 28387-4810

Mailing address

190 SW Broad St Unit 1203
Southern Pines, NC 28388-0104
Phone (910) 408-2525

Other practice location 1

5004 Oleander Dr
Wilmington, NC 28403-7015
Phone (910) 408-2525

Other names 1

  • Dr. Megan Hickey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 15, 2019 through Jul 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5390NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Megan McDonnell, PSYD, PC Psychologist CurrentSince Nov 29, 2020 Accepting new patients

Locations

225 N Bennett St
Ste F
Southern Pines, NC 28387
Phone (910) 408-2525

190 SW Broad St
Unit 1203
Southern Pines, NC 28388

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1417364209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SW BROAD ST UNIT 1203",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283880104",
            "telephone_number": "910-408-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N BENNETT ST STE F",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874810",
            "telephone_number": "910-408-2525",
            "fax_number": "888-546-3945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5004 Oleander Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284037015",
            "country_code": "US",
            "telephone_number": "910-408-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "HICKEY",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.