Individual provider Active NPI

Mary Megan McCarron, BCBA

  • Intellectual & Developmental Disabilities Psychologist
  • Milford, CT
National Provider Identifier
1679740468
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Practice address
597 Naugatuck Ave
CCCD Academy
Milford, CT 06461-4060
Phone
(203) 910-0992
Fax
(203) 306-0006
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X
Intellectual & Developmental Disabilities Psychologist 103TM1800X Primary

Addresses

Primary practice location

597 Naugatuck Ave
CCCD Academy
Milford, CT 06461-4060

Mailing address

597 Naugatuck Ave
CCCD Academy
Milford, CT 06461-4060
Phone (203) 910-0992

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1679740468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 NAUGATUCK AVE",
            "address_2": "CCCD ACADEMY",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064614060",
            "telephone_number": "203-910-0992",
            "fax_number": "203-306-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 NAUGATUCK AVE",
            "address_2": "CCCD ACADEMY",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064614060",
            "telephone_number": "203-910-0992",
            "fax_number": "203-306-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARRON",
        "first_name": "MARY MEGAN",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.