Fawn Megan McNeil-Haber, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00456800 Issued in NJ

Practice address

567 Park Ave
Suite 204
Scotch Plains, NJ 07076-1754

Phone

(908) 242-3634

NPI assigned

Oct 28, 2008

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brave Minds Psychological Services

  • Clinical Psychologist
  • Scotch Plains, NJ
  • NPI 1619414885
  NPD Authorized official

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1710130307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 PARK AVE",
            "address_2": "SUITE 204",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761754",
            "telephone_number": "908-242-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 PARK AVE",
            "address_2": "SUITE 204",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761754",
            "telephone_number": "908-242-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL-HABER",
        "first_name": "FAWN",
        "middle_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017169",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00456800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Elizabeth McArdle, LSW
• Miquelle McCarthy
• Terry McGowan, OT
• Patricia Ellen McLaughlin, LMFT
• Tierrah T McLean, LPC
• Medical Access Group
• Medical Access Group
• Mega Care Inc.
• Mega Care Inc.
• Pooja Mehta, MD

• Clinical Psychologist in Scotch Plains, NJ
• Providers in Scotch Plains, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.