Active NPI
Megan Beth Warner, PH.D.
- Clinical Psychologist
- Guilford, CT
National Provider Identifier
1609207232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3427
- Practice address
- 34 York St Ste 4
Guilford, CT 06437-2473 - Phone
- (203) 453-2220
- NPI assigned
- Dec 8, 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 | 017474 | NY | |
| Clinical Psychologist | 103TC0700X | 3427 | CT | Primary |
Addresses
Primary practice location
34 York St Ste 4
Guilford, CT 06437-2473
Mailing address
34 York St Ste 4
Guilford, CT 06437-2473
Phone (203) 453-2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 21, 2021 through Sep 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017474 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1609207232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 YORK ST STE 4",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372473",
"telephone_number": "203-453-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 YORK ST STE 4",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372473",
"telephone_number": "203-453-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "MEGAN",
"middle_name": "BETH",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-08",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017474",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "3427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.