Active NPI
Megan Annette Farley, PH.D.
- Psychologist
- Waunakee, WI
National Provider Identifier
1790012136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3118-57
- Practice address
- 1903 Tierney Dr
Waunakee, WI 53597-2313 - Phone
- (801) 574-5074
- NPI assigned
- Nov 5, 2009
- 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 | 3118-57 | WI | |
| Psychologist | 103T00000X | 3118-57 | WI | Primary |
Addresses
Primary practice location
1903 Tierney Dr
Waunakee, WI 53597-2313
Mailing address
1903 Tierney Dr
Waunakee, WI 53597-2313
Phone (801) 574-5074
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3118-57 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Different Minds LLC | Clinical | Current | 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": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1790012136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 TIERNEY DR",
"city": "WAUNAKEE",
"state": "WI",
"postal_code": "535972313",
"telephone_number": "801-574-5074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 TIERNEY DR",
"city": "WAUNAKEE",
"state": "WI",
"postal_code": "535972313",
"telephone_number": "801-574-5074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "MEGAN",
"middle_name": "ANNETTE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-05",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "3118-57",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "3118-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waunakee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.