Megan Sisk

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

AMFT113820 Issued in CA

Practice address

2547 W Shaw Ave
Fresno, CA 93711-3321

Phone

(559) 916-1978

NPI assigned

Jun 10, 2021

Last updated

Jun 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1932777562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 E NEWHALL DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113321",
            "telephone_number": "559-916-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISK",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT113820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://pm.officeally.com",
            "affiliation": "N",
            "endpointDescription": "office ally electronic health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "address_1": "2547 W Shaw Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937113321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gabriela Siqueiros
• Supot Siriphand, PHARM D
• Kalvin K Sirisukarn
• David Sironen
• Jeremiah David Sisco-Asencio II
• William Wade Sisk, LVN
• Isiah Sisneros Edward Sisneros
• Brandi Sisneroz
• Kulwant Singh Sisodia, DDS
• Manisha Sisodia, D.D.S.

• Mental Health Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.