Individual provider Active NPI

Megan Elizabeth Zakar, TLLP

  • Psychologist
  • Royal Oak, MI
National Provider Identifier
1891413811
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6362009611 Issued in MI
Practice address
123 S Main St Ste 100
Royal Oak, MI 48067-2627
Phone
(248) 692-4013
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6362009611 MI Primary

Addresses

Primary practice location

123 S Main St Ste 100
Royal Oak, MI 48067-2627

Mailing address

229 Lakewood St
Detroit, MI 48215-3151
Phone (248) 835-4445

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

State licenses

LicenseStateTypeSpecialty
6362009611MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Wellness Counseling CurrentSince Aug 28, 2022 Accepting new patients

Locations

123 S Main St
Ste 100
Royal Oak, MI 48067
Phone (248) 546-0407

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1891413811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 LAKEWOOD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482153151",
            "telephone_number": "248-835-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S MAIN ST STE 100",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672627",
            "telephone_number": "248-692-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKAR",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "TLLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6362009611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.