NPIMap

Organization Active NPI

Megan Sullaway and Edward Dunbar

  • Psychologist
  • El Segundo, CA
National Provider Identifier
1447422357
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY9947 Issued in CA
Legal business name
MEGAN SULLAWAY AND EDWARD DUNBAR
Practice address
877 N Douglas St
El Segundo, CA 90245-2801
Phone
(310) 536-0211
Fax
(310) 536-0215
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Dr. Megan Sullaway, PH.D.
Title
Partner/Owner
Phone
(310) 536-0211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY9947 CA Primary

Addresses

Primary practice location

877 N Douglas St
El Segundo, CA 90245-2801

Mailing address

877 N Douglas St
El Segundo, CA 90245-2801
Phone (310) 536-0211

Other names 1

  • Pacific Psychological Associates Doing business as

National Provider Directory

National Provider Directory

Locations

877 N Douglas St
El Segundo, CA 90245
Phone (310) 536-0211

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1447422357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 N DOUGLAS ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452801",
            "telephone_number": "310-536-0211",
            "fax_number": "310-536-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 N DOUGLAS ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452801",
            "telephone_number": "310-536-0211",
            "fax_number": "310-536-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN SULLAWAY AND EDWARD DUNBAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "SULLAWAY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "310-536-0211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY9947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Psychological Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.