Melanie C Magoon, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001925 Issued in CT

Practice address

15 S Elm St Ste 3
Wallingford, CT 06492-4741

NPI assigned

Aug 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1609390418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S ELM ST STE 3",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924741",
            "telephone_number": "203-640-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S ELM ST STE 3",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 State St",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064503242",
            "country_code": "US",
            "telephone_number": "203-907-7872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGOON",
        "first_name": "MELANIE",
        "middle_name": "C",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merle Macaro
• Kathryn E Macary, APRN
• Michelle Patrice Mackenzie, MS, RDN, CDN
• Jeanmarie Mackey, OT
• Frankie Maderia
• Kerry Magrath
• Maureen Maher-Zinser, CCCSLP
• Jeanette Ellen Mails, LCAC
• Ann Majure, LCSW
• Richard Makover, M.D.

• Marriage & Family Therapist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.