Active NPI
Megan Key Gabalda, PH.D.
- Clinical Psychologist
- Kernersville, NC
National Provider Identifier
1982871141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 102759
- Practice address
- 851 Old Winston Rd
Suite 107
Kernersville, NC 27284-8780 - Phone
- (336) 996-9840
- Fax
- (888) 863-9747
- NPI assigned
- May 15, 2008
- Last updated
- Nov 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 102759 | NC | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 102759 | NC |
Addresses
Primary practice location
851 Old Winston Rd
Suite 107
Kernersville, NC 27284-8780
Mailing address
851 Old Winston Rd
Suite 107
Kernersville, NC 27284-8780
Phone (336) 996-9840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6001098 | Medicaid | NC |
Other names 1
- Ms. Megan Beth Key
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102759 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Health Network, LLC | Past | Accepting new patients | |
| Cornerstone Health Care, PA | Past | Accepting new patients | |
| Carolina Psychological Associates, P.a. | Clinical | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Counseling Psychologist
- Greensboro, NC
- NPI 1467409003
Clinical
-
dba Cornerstone Behavioral Medicine at Premier
- Counselor
- High Point, NC
- NPI 1356695670
-
dba Atrium Health Levine Children's Pediatrics Northwest
- Pediatrics Physician
- Greensboro, NC
- NPI 1053175299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1982871141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 OLD WINSTON RD",
"address_2": "SUITE 107",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272848780",
"telephone_number": "336-996-9840",
"fax_number": "888-863-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 OLD WINSTON RD",
"address_2": "SUITE 107",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272848780",
"telephone_number": "336-996-9840",
"fax_number": "888-863-9747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABALDA",
"first_name": "MEGAN",
"middle_name": "KEY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "102759",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "102759",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6001098",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "KEY",
"middle_name": "BETH",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.