Individual provider Active NPI

Megan Carroll Callen

  • Marriage & Family Therapist
  • Ontario, CA
National Provider Identifier
1841851326
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114966 Issued in CA
Practice address
1420 S Milliken Ave
Ontario, CA 91761-2336
Phone
(909) 988-2418
Fax
(909) 988-4571
NPI assigned
Jun 25, 2019
Last updated
Aug 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 114966 CA Primary

Addresses

Primary practice location

1420 S Milliken Ave
Ontario, CA 91761-2336

Mailing address

1420 S Milliken Ave
Ontario, CA 91761-2336
Phone (909) 988-2418

Other identifiers 1

IdentifierTypeStateIssuer
106H00000XMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250204003521 CA Practitioner - Marriage and Family Therapist 3072043173 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Morning View Family Therapy, Inc Marriage & Family Therapist CurrentSince Nov 30, 2024 Accepting new patients

Locations

9065 Haven Ave
Ste 110
Rancho Cucamonga, CA 91730
Phone (909) 757-5770

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1841851326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 S MILLIKEN AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612336",
            "telephone_number": "909-988-2418",
            "fax_number": "909-988-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S MILLIKEN AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612336",
            "telephone_number": "909-988-2418",
            "fax_number": "909-988-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLEN",
        "first_name": "MEGAN",
        "middle_name": "CARROLL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106H00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.