Individual provider Active NPI

Christopher Roberts Meagher, PHD

  • Psychologist
  • Olympia, WA
National Provider Identifier
1972570315
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1118 Issued in WA
Practice address
406 Lilly Rd NE
Ste D
Olympia, WA 98506-5118
Phone
(360) 456-5546
Fax
(360) 456-5549
NPI assigned
Mar 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1118 WA Primary

Addresses

Primary practice location

406 Lilly Rd NE
Ste D
Olympia, WA 98506-5118

Mailing address

406 Lilly Rd NE
Ste D
Olympia, WA 98506-5118
Phone (360) 456-5546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20101104001066 WA Practitioner - Clinical Psychologist 4981898889 Receives reassigned benefits from 1 practitioner
Practice locations: Olympia, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

406 Lilly Rd NE
Suite D
Olympia, WA 98506-5118

406 Lilly Rd NE D
Behavioral Medicine Clinic
Olympia, WA 98506-5118
Phone (360) 456-5546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1118WAMDAudiologist-Hearing Aid Fitter

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972570315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 LILLY RD NE",
            "address_2": "STE D",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065118",
            "telephone_number": "360-456-5546",
            "fax_number": "360-456-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 LILLY RD NE",
            "address_2": "STE D",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065118",
            "telephone_number": "360-456-5546",
            "fax_number": "360-456-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAGHER",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERTS",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "1118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.