Individual provider Active NPI

Megan Pappas, IMF

  • Marriage & Family Therapist
  • Lakeside, CA
National Provider Identifier
1962914390
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
90621 Issued in CA
Practice address
12064 Woodside Ave Ste 105
Lakeside, CA 92040-2951
Phone
(619) 436-4263
NPI assigned
Oct 25, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 90621 CA Primary

Addresses

Primary practice location

12064 Woodside Ave Ste 105
Lakeside, CA 92040-2951

Mailing address

813 1/2 Coast Blvd S
La Jolla, CA 92037-8413

Other practice location 1

12064 Woodside Ave Ste 105
Lakeside, CA 92040-2951
Phone (619) 436-4263

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
90621CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962914390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 1/2 COAST BLVD S",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920378413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12064 WOODSIDE AVE STE 105",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920402951",
            "telephone_number": "619-436-4263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12064 Woodside Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lakeside",
            "state": "CA",
            "postal_code": "920402951",
            "country_code": "US",
            "telephone_number": "619-436-4263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "MEGAN",
        "credential": "IMF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.