Individual provider Active NPI

Megan Joseph Freeman, PHD

  • Clinical Child & Adolescent Psychologist
  • Las Vegas, NV
National Provider Identifier
1881986719
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY0752 Issued in NV
Practice address
2850 Lindell Rd
Las Vegas, NV 89146-6815
Phone
(702) 253-2806
NPI assigned
May 11, 2011
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 53 921 MS
Clinical Child & Adolescent Psychologist 103TC2200X PYT140731 NV
Clinical Child & Adolescent Psychologist 103TC2200X PY0752 NV Primary

Addresses

Primary practice location

2850 Lindell Rd
Las Vegas, NV 89146-6815

Mailing address

6171 W Charleston Blvd
Building 10
Las Vegas, NV 89146-1126
Phone (702) 486-5282

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
53 921MSMDClinical Child & Adolescent Psychologist
PY0752NVMDClinical Child & Adolescent Psychologist
PYT140731NVMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boys & Girls Clubs of Southern Nevada CurrentSince Apr 16, 2023 Accepting new patients
Creative Solutions for Positive Youth Development Clinical Child & Adolescent CurrentSince Sep 5, 2023 Accepting new patients
State of Nevada - Sncas Outpatient Past Accepting new patients
State of Nevada - Sncas Case Management PastSince Sep 1, 2023 Accepting new patients

Locations

2850 Lindell Rd
Las Vegas, NV 89146
Phone (702) 253-2806

Organizations & group practices 4

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1881986719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6171 W CHARLESTON BLVD",
            "address_2": "BUILDING 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461126",
            "telephone_number": "702-486-5282",
            "fax_number": "702-486-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 LINDELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466815",
            "telephone_number": "702-253-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "MEGAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MS",
            "license": "53 921",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NV",
            "license": "PYT140731",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NV",
            "license": "PY0752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.