Meagan Mae Walczak, AUD CCCA FAAA ABA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

757 Issued in CT

Practice address

49 Lake Ave Ste 103
Greenwich, CT 06830-4519

Phone

(203) 869-2030

NPI assigned

Feb 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Business Administration

State licenses

Practice roles

Locations

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.

• Greenwich Ear Nose & Throat PC

  • Otolaryngology Physician
  • Greenwich, CT
  • NPI 1316012511
  Medicare reassignment NPD
• Associates of Otolaryngology PC

  • Otolaryngology Physician
  • Greenwich, CT
  • NPI 1538353321
  NPD (past)
• University of Connecticut Health Center

  • Clinical Medical Laboratory
  • Farmington, CT
  • NPI 1427031293
  NPD (past)

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1457007908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE STE 103",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304519",
            "telephone_number": "203-869-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE STE 103",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304519",
            "telephone_number": "203-869-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCZAK",
        "first_name": "MEAGAN",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "AUD CCCA FAAA ABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "AUD4901",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pro.sycle.net/",
            "affiliation": "N",
            "endpointDescription": "Sycle Audiologist Patient Records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "102 Shore Dr Ste 400",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016053154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michele Lauren Volchonok
• Melanie Ann Vollono, BA, MS, MFT
• Robert Wachen, DDS
• Julie Ann Fernan Wahnish
• Andrea B Wainer, LCSW-R
• Cathleen Walker, RNC, MA, IBCLC
• Jamie Wallace
• Joseph Francis Wallace III, D.D.S.
• Jocelyn Walls, LCSW
• Denise J. Walsh, OTR

• Audiologist in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Audiologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.