MS. MEGAN TARA HEEDER-MEGAN


Address: 3002 Main St, Old Forge, NY 13420
Phone: 3152722600

MS. MEGAN TARA HEEDER-MEGAN (NPI# 1467750802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467750802
Entity Type Individual
Full Name MS. MEGAN TARA HEEDER-MEGAN
Credential LMHC
Practice Address 3002 Main St
Old Forge
NY 13420
Mailing Address 113 Moose River Commons Loop
Po Box 911
Old Forge
NY 13420
Practice Telephone 3152722600
Mailing Telephone 5189288192
Enumeration Date 2011-03-09
Last Update Date 2016-10-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
007095-1 NY Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
0680065303 VT Behavioral Health & Social Service Providers

Office Location

Street Address 3002 MAIN ST
City OLD FORGE
State NY
Zip Code 13420

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164715397 Emir Hodzic Family Medicine 114 South Shore Road, Old Forge, NY 13420 2011-05-20
1003041377 Stanley Bloom Urology 138 Goodell Rd, Old Forge, NY 13420 2009-05-15
1407006182 Danielle Ann Beckingham Registered Nurse 107 Tamarack Dr., Old Forge, NY 13420 2008-09-30
1619127305 Kelly E. Hamlin Dietitian, Registered 114 Middle Branch Rd, Old Forge, NY 13420 2008-09-30
1265697007 Katherine Boesche Registered Nurse 197 Mohawk Rd, Old Forge, NY 13420 2008-07-22
1336325695 Deborah Brosemer Pharmacist 2964 State Route 28, Old Forge, NY 13420 2008-01-17
1558567370 Old Forge Volunteer Ambulance Corps, Inc Ambulance 116 Fulton Street, Old Forge, NY 13420 2007-06-27
1780758276 Joseph C Rintrona Dentist 114 S Shore Road, Tow Prof Bldg, Old Forge, NY 13420 2006-11-17
1518074798 Kph Healthcare Services, Inc. Pharmacy 2964 State Rt 28, Old Forge, NY 13420 2006-08-24
1457973976 Hayly Kathleen Stein Occupational Therapist 3002 Main Street, Old Forge, NY 13420 2020-05-07
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1659972859 Rebecca Ryan Counselor 8 Virginia Road, Babylon, NY 11702 2020-11-04
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1114528304 May Tang Counselor 7215 37th Ave Apt 6c, Jackson Heights, NY 11372-6214 2020-11-04
1063013191 Clinicians of The Diaspora, LLC Counselor 203 W 117th St Apt 3e, New York, NY 10026-2139 2020-11-04
1871194464 Tamara Sarita Manzo Counselor 60 N Waldinger St, Valley Stream, NY 11580-3809 2020-11-02
1730789389 Willam Bernard Feehan Counselor 14 Sutton Pl S Apt 3b, New York, NY 10022-3109 2020-10-31
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Competitor

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City OLD FORGE
Zip Code 13420

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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