Active NPI
Kathleen Meagher, PSY.D.
- Clinical Psychologist
- Beverly, MA
National Provider Identifier
1841524717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8627
- Practice address
- 100 Cummings Ctr
Suite 328K
Beverly, MA 01915-6115 - Phone
- (617) 899-6272
- Fax
- (781) 592-2471
- NPI assigned
- Sep 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 8627 | MA | Primary |
| School Psychologist | 103TS0200X | 0195572 | MA |
Addresses
Primary practice location
100 Cummings Ctr
Suite 328K
Beverly, MA 01915-6115
Mailing address
100 Cummings Ctr
Suite 328K
Beverly, MA 01915-6115
Phone (617) 899-6272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8627 | MA | MD | Clinical Psychologist |
| 0195572 | MA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynn Community Health, Inc. | Current | Accepting new patients |
Locations
280 Union St
Ste 202
Lynn, MA 01901
Phone (781) 780-4555
269 Union St
Lynn, MA 01901
Phone (781) 581-9832
Interoperability endpoints
- kmeagher150088@direct.ochin.org
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.
-
- Federally Qualified Health Center (FQHC)
- Lynn, MA
- NPI 1013997691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253836800000",
"number": "1841524717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR",
"address_2": "SUITE 328K",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156115",
"telephone_number": "617-899-6272",
"fax_number": "781-592-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR",
"address_2": "SUITE 328K",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156115",
"telephone_number": "617-899-6272",
"fax_number": "781-592-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEAGHER",
"first_name": "KATHLEEN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-25",
"last_updated": "2009-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "8627",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MA",
"license": "0195572",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.