Individual provider Active NPI

Meghan Marnell, PH.D.

  • Clinical Psychologist
  • Amarillo, TX
National Provider Identifier
1508298647
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36430 Issued in TX
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

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200765110AMedicaidOK
27755533MedicaidNM
327450803MedicaidTX
3274508-01MedicaidTX
327450802MedicaidTX

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

LicenseStateTypeSpecialty
36430TXMDDentist

Interoperability endpoints

  • Direct secure messaging: 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": []
}

Other providers in Amarillo, TX

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.

Verify at the official NPI Registry.