Individual provider Active NPI

Laurie Meguro, PSYD

  • Psychologist
  • State College, PA
National Provider Identifier
1548701766
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
474 Windmere Dr Ste 301C
State College, PA 16801-7643
Phone
(814) 325-7786
Fax
(814) 325-7787
NPI assigned
Mar 20, 2017
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

474 Windmere Dr Ste 301C
State College, PA 16801-7643

Mailing address

6311 Ames Ave Unit 202
Omaha, NE 68104-2027
Phone (814) 325-7786

Other practice location 1

720 Pike St
Suite 2
Lemont, PA 16851-1122
Phone (814) 954-7607

Other practice location 2

6311 Ames Ave Unit 202
Omaha, NE 68104-2027
Phone (814) 325-7786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 15, 2022 through Sep 15, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laurie Meguro PSYD, LLC Psychologist CurrentSince Nov 26, 2023 Accepting new patients
George Fox University Past Accepting new patients

Locations

6311 Ames Ave
Omaha, NE 68104
Phone (307) 225-6993

474 Windmere Dr
Ste 301C
State College, PA 16801
Phone (808) 896-4547

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1548701766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 AMES AVE UNIT 202",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042027",
            "telephone_number": "814-325-7786",
            "fax_number": "814-325-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 WINDMERE DR STE 301C",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017643",
            "telephone_number": "814-325-7786",
            "fax_number": "814-325-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Pike St",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Lemont",
            "state": "PA",
            "postal_code": "168511122",
            "country_code": "US",
            "telephone_number": "814-954-7607",
            "fax_number": "888-965-1813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6311 Ames Ave Unit 202",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681042027",
            "country_code": "US",
            "telephone_number": "814-325-7786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEGURO",
        "first_name": "LAURIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.