Individual provider Active NPI

Meaghan Cotter, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1710250477
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95017370 Issued in CA
Practice address
6010 Hidden Valley Rd Ste 115
Carlsbad, CA 92011-4219
Phone
(855) 427-2778
Fax
(760) 814-6094
NPI assigned
Feb 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 4704287132 MI
Family Nurse Practitioner 363LF0000X 4704287132 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277002707 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95017370 CA Primary

Addresses

Primary practice location

6010 Hidden Valley Rd Ste 115
Carlsbad, CA 92011-4219

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (916) 576-7900

Other practice location 1

332 S Michigan Ave Ste 900
Chicago, IL 60604-4393
Phone (312) 718-3231

Other practice location 2

555 Towner St
Ypsilanti, MI 48198-5723
Phone (734) 544-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200804000290 MI Practitioner - Nurse Practitioner 5698045482 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704287132MIMDFamily Nurse Practitioner
95017370CAMDPsychiatric/Mental Health Nurse Practitioner
277002707ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Washtenaw CurrentSince Jul 13, 2022 Accepting new patients
County of Washtenaw CurrentSince Jul 13, 2022 Accepting new patients
Mood Clinical, P. C. Family PastSince Jun 15, 2021 Accepting new patients
Mark David Levine M.D. Professional Corporation Psychiatric/Mental Health PastSince Feb 11, 2024 Accepting new patients
Mark David Levine, MD Burlingame PC PastSince Feb 11, 2024 Accepting new patients
Glenn Medical Center, LLC Past Accepting new patients

Locations

2140 E Ellsworth Rd
Ann Arbor, MI 48108
Phone (734) 544-3000

555 Towner St
Ypsilanti, MI 48198
Phone (734) 544-3000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1710250477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954",
            "telephone_number": "916-576-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 HIDDEN VALLEY RD STE 115",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114219",
            "telephone_number": "855-427-2778",
            "fax_number": "760-814-6094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 S Michigan Ave Ste 900",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606044393",
            "country_code": "US",
            "telephone_number": "312-718-3231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Towner St",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481985723",
            "country_code": "US",
            "telephone_number": "734-544-3000",
            "fax_number": "734-544-6705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTER",
        "first_name": "MEAGHAN",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704287132",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704287132",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277002707",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95017370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.