Active NPI
Meghan Marnell, PH.D.
- Clinical Psychologist
- Amarillo, TX
National Provider Identifier
1508298647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 36430
- Practice address
- 9525 Business Interstate 40
Amarillo, TX 79124-2329 - Phone
- (806) 607-5930
- Fax
- (806) 482-1609
- NPI assigned
- Jul 31, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 36430 | TX | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 36430 | TX |
Addresses
Primary practice location
9525 Business Interstate 40
Amarillo, TX 79124-2329
Mailing address
9525 Business Interstate 40
Amarillo, TX 79124-2329
Phone (806) 607-5930
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200765110A | Medicaid | OK | |
| 27755533 | Medicaid | NM | |
| 327450803 | Medicaid | TX | |
| 3274508-01 | Medicaid | TX | |
| 327450802 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36430 | TX | MD | Dentist |
Interoperability endpoints
- meghanmarnell@ttuhsc.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1508298647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9525 BUSINESS INTERSTATE 40",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791242329",
"telephone_number": "806-607-5930",
"fax_number": "806-482-1609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9525 BUSINESS INTERSTATE 40",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791242329",
"telephone_number": "806-607-5930",
"fax_number": "806-482-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARNELL",
"first_name": "MEGHAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-31",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "36430",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TX",
"license": "36430",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200765110A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27755533",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "327450803",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3274508-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "327450802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.