Active NPI
Megan Ford Clough, BEHAVIOR ANALYST
- Behavior Analyst
- Gadsden, AL
National Provider Identifier
1710492467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2017-024
- Practice address
- 1050 Forrest Ave
Gadsden, AL 35901 - Phone
- (256) 459-5499
- Fax
- (256) 907-5155
- NPI assigned
- Dec 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2017-024 | AL | Primary |
Addresses
Primary practice location
1050 Forrest Ave
Gadsden, AL 35901
Mailing address
1050 Forrest Ave
Gadsden, AL 35901
Phone (256) 459-5499
Other practice location 1
504 Journeys End
Ashville, AL 35953-4805
Phone (205) 907-8219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280022 | Medicaid | AL |
Other names 1
- Mrs. Megan Ford Petitt
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-024 | AL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Isi Therapeutic Family Services, LLC | Past | Accepting new patients |
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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- NPI 1811456510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1710492467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 FORREST AVE",
"city": "GADSDEN",
"state": "AL",
"postal_code": "35901",
"telephone_number": "256-459-5499",
"fax_number": "256-907-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 FORREST AVE",
"city": "GADSDEN",
"state": "AL",
"postal_code": "35901",
"telephone_number": "256-459-5499",
"fax_number": "256-907-5155"
}
],
"practiceLocations": [
{
"address_1": "504 Journeys End",
"address_purpose": "LOCATION",
"city": "Ashville",
"state": "AL",
"postal_code": "359534805",
"country_code": "US",
"telephone_number": "205-907-8219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLOUGH",
"first_name": "MEGAN",
"middle_name": "FORD",
"name_prefix": "Mrs.",
"credential": "BEHAVIOR ANALYST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-04",
"last_updated": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AL",
"license": "2017-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280022",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "PETITT",
"middle_name": "FORD",
"prefix": "MRS.",
"credential": "BEHAVIOR ANALYST",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.