Active NPI
Megan J Amos, O.T.R.
- Rehabilitation Psychologist
- Prairie Village, KS
National Provider Identifier
1629326848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 17-02776
- Practice address
- 3965 W 83Rd St Ste 233
Prairie Village, KS 66208-5308 - Phone
- (913) 789-9170
- Fax
- (913) 789-9170
- NPI assigned
- Aug 20, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | 17-02776 | KS | Primary |
Addresses
Primary practice location
3965 W 83Rd St Ste 233
Prairie Village, KS 66208-5308
Mailing address
3965 W 83Rd St Ste 233
Prairie Village, KS 66208-5308
Phone (913) 789-9170
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-02776 | KS | MD | Rehabilitation Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345420800000",
"number": "1629326848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3965 W 83RD ST STE 233",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662085308",
"telephone_number": "913-789-9170",
"fax_number": "913-789-9170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3965 W 83RD ST STE 233",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662085308",
"telephone_number": "913-789-9170",
"fax_number": "913-789-9170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOS",
"first_name": "MEGAN",
"middle_name": "J",
"credential": "O.T.R.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-20",
"last_updated": "2012-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "KS",
"license": "17-02776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.