Active NPI
Megan Padilla, PSY.D.
- Clinical Psychologist
- Gresham, OR
National Provider Identifier
1710330816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3162
- Practice address
- 2222 E Powell Blvd
Gresham, OR 97080-1365 - Phone
- (503) 669-4300
- NPI assigned
- Jul 13, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3162 | OR | Primary |
Addresses
Primary practice location
2222 E Powell Blvd
Gresham, OR 97080-1365
Mailing address
4799 SW Greensboro Way Apt 58
Beaverton, OR 97078-2789
Phone (602) 570-0252
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chehalem Youth and Family Services | Past | Accepting new patients |
Interoperability endpoints
- lifestancehealth.meganpadilla@148835.advancedmd-direct.com
Organizations & group practices 1
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.
-
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- Newberg, OR
- NPI 1982952958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1710330816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4799 SW GREENSBORO WAY APT 58",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970782789",
"telephone_number": "602-570-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 E POWELL BLVD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970801365",
"telephone_number": "503-669-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "MEGAN",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-13",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "3162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.