Meghan Fagundes, M.S., M.A., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY31947 Issued in CA

Practice address

8765 Aero Dr Ste 228
San Diego, CA 92123-1785

Phone

(858) 876-7779

Fax

(619) 272-7542

NPI assigned

Jun 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: megan.fagundes.p1@direct.cdsdp.nextgenshare.com

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.

• Positive Psychology Inc.

  • Psychologist
  • San Diego, CA
  • NPI 1073927588
  Medicare reassignment NPD
• Institute on Violence, Abuse, & Trauma @ Alliant International Univers

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1538306931
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1700083540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16753",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921766753",
            "telephone_number": "858-634-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 AERO DR STE 228",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231785",
            "telephone_number": "858-876-7779",
            "fax_number": "619-272-7542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9445 Farnham St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231308",
            "country_code": "US",
            "telephone_number": "858-380-4676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10065 Old Grove Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921311664",
            "country_code": "US",
            "telephone_number": "858-527-1860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAGUNDES",
        "first_name": "MEGHAN",
        "name_prefix": "Dr.",
        "credential": "M.S., M.A., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53683",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Kathleen Fagan, PA-C
• Sherilyn Lydia Fagan
• Daniel H Fagerson, M.D.
• Nilofar Faghihnia, D.P.M.
• Regina Fagout
• Arran Fahey
• Emma Fahey
• Hayat Fahliogullari-Smith, DDS
• Joy Fahmy
• John Fahy, MD

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.