Active NPI
Megan McGugan, PHD
- Health Psychologist
- Evanston, IL
National Provider Identifier
1730817867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- License
- PY10916
- Practice address
- 1101 Davis St
Evanston, IL 60201-5945 - Phone
- (844) 475-3379
- Fax
- (855) 644-2981
- NPI assigned
- Aug 8, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY10916 | FL | |
| Health Psychologist | 103TH0004X | PY10916 | FL | Primary |
Addresses
Primary practice location
1101 Davis St
Evanston, IL 60201-5945
Mailing address
871 Ibis Walk PL N Unit 2409
Saint Petersburg, FL 33716-3858
Phone (740) 704-1664
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY10916 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1730817867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 IBIS WALK PL N UNIT 2409",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337163858",
"telephone_number": "740-704-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 DAVIS ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602015945",
"telephone_number": "844-475-3379",
"fax_number": "855-644-2981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUGAN",
"first_name": "MEGAN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY10916",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "FL",
"license": "PY10916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.