Individual provider Active NPI

Megan Key Gabalda, PH.D.

  • Clinical Psychologist
  • Kernersville, NC
National Provider Identifier
1982871141
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
102759 Issued in NC
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6001098MedicaidNC

Other names 1

  • Ms. Megan Beth Key Former name

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

LicenseStateTypeSpecialty
102759NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC Past Accepting new patients
Cornerstone Health Care, PA Past Accepting new patients
Carolina Psychological Associates, P.a. Clinical PastSince May 2, 1996 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.

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.

Verify at the official NPI Registry.