Organization Active NPI

Megan M Stodard PHD LLC

  • Psychologist
  • Pensacola, FL
National Provider Identifier
1770107393
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MEGAN M STODARD PHD LLC
Practice address
25 W Cedar St Ste 120
Pensacola, FL 32502-5945
Phone
(850) 733-6617
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Dr. Megan Stodard, PHDNPI 1871805663
Title
Owner, Clinical Psychologist
Phone
(850) 733-6617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

25 W Cedar St Ste 120
Pensacola, FL 32502-5945

Mailing address

25 W Cedar St Ste 120
Pensacola, FL 32502-5945
Phone (850) 733-6617

Other names 1

  • Harbor Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

25 W Cedar St
Ste 120
Pensacola, FL 32502
Phone (850) 733-6617

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1770107393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W CEDAR ST STE 120",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025945",
            "telephone_number": "850-733-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W CEDAR ST STE 120",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025945",
            "telephone_number": "850-733-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN M STODARD PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "STODARD",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "850-733-6617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.