Individual provider Active NPI

Megan A Swan, PHD

  • Clinical Psychologist
  • Bellevue, WA
National Provider Identifier
1750632600
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
60251724 Issued in WA
Practice address
2515 140TH Ave NE
Ste E110
Bellevue, WA 98005-1862
Phone
(425) 644-4100
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 60251724 WA Primary

Addresses

Primary practice location

2515 140TH Ave NE
Ste E110
Bellevue, WA 98005-1862

Mailing address

2515 140TH Ave NE
Ste E110
Bellevue, WA 98005-1862
Phone (425) 644-4100

Other identifiers 1

IdentifierTypeStateIssuer
60251724OtherWAWA DOH

Medicare participation

Medicare enrollment files
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 Jul 1, 2019 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
60251724WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Two Doors Down Psychotherapy, LLC Current Accepting new patients
NPI 1023125499 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.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1750632600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 140TH AVE NE",
            "address_2": "STE E110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051862",
            "telephone_number": "425-644-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 140TH AVE NE",
            "address_2": "STE E110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051862",
            "telephone_number": "425-644-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "MEGAN",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "60251724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DOH",
            "identifier": "60251724",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.