Individual provider Active NPI

Megan Horwitz Plumstead, PSYD

  • Counseling Psychologist
  • Saint Paul, MN
National Provider Identifier
1750697587
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301014531 Issued in MI
Practice address
1619 Dayton Ave Ste 327
Saint Paul, MN 55104-6495
Phone
(248) 797-4833
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 6301014531 MI
Clinical Psychologist 103TC0700X 6301014531 MI
Family Psychologist 103TF0000X 6301014531 MI
Health Psychologist 103TH0004X 6301014531 MI
Group Psychotherapy Psychologist 103TP2701X 6301014531 MI
Counseling Psychologist 103TC1900X 6301014531 MI Primary

Addresses

Primary practice location

1619 Dayton Ave Ste 327
Saint Paul, MN 55104-6495

Mailing address

1619 Dayton Ave Ste 327
Saint Paul, MN 55104-6495
Phone (248) 797-4833

Other practice location 1

7235 Ohms Ln
Edina, MN 55439-2148
Phone (952) 841-2345

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

State licenses

LicenseStateTypeSpecialty
6301014531MIMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Megan Plumstead, LLC Counseling CurrentSince Aug 23, 2020 Accepting new patients
Clementine Counseling Past Accepting new patients
United Psychological Services Inc Clinical PastSince Feb 9, 2001 Accepting new patients

Locations

1619 Dayton Ave
Ste 327
Saint Paul, MN 55104
Phone (248) 797-4833

Organizations & group practices 3

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": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1750697587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 DAYTON AVE STE 327",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046495",
            "telephone_number": "248-797-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 DAYTON AVE STE 327",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046495",
            "telephone_number": "248-797-4833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7235 Ohms Ln",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554392148",
            "country_code": "US",
            "telephone_number": "952-841-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUMSTEAD",
        "first_name": "MEGAN",
        "middle_name": "HORWITZ",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301014531",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014531",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MI",
            "license": "6301014531",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "MI",
            "license": "6301014531",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MI",
            "license": "6301014531",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301014531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.