MEGAN DOUGHERTY


Address: 4309 3rd Ave, San Diego, CA 92103-1407
Phone: 6198764502

MEGAN DOUGHERTY (NPI# 1932755741) 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) 1932755741
Entity Type Individual
Full Name MEGAN DOUGHERTY
Practice Address 4309 3rd Ave
San Diego
CA 92103-1407
Mailing Address 2600 Redondo Ave
Long Beach
CA 90806-2325
Practice Telephone 6198764502
Enumeration Date 2019-08-16
Last Update Date 2020-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
2600 Redondo Ave, Long Beach, CA 908062325 2139727001

Other Providers MEGAN DOUGHERTY

NPI Name Taxonomy Address Enumeration
1124422589 Megan Dougherty Social Worker 416 Melrose St, Apt 1l, Brooklyn, NY 11237-2059 2014-10-14
1407144942 Megan Dougherty Emergency Medicine 4201 St Antoine Uhc 9c, Detroit, MI 48201 2011-07-19
1508411349 Megan Dougherty Nurse Practitioner 725 American Ave, Waukesha, WI 53188-5031 2019-08-08
1205309424 Megan Dougherty Occupational Therapist 10000 W 75th St Ste 250, Merriam, KS 66204-2218 2019-01-10
1598048423 Megan Dougherty Speech-Language Pathologist 1210 13th St, Parkersburg, WV 26101-4144 2011-09-27

Office Location

Street Address 4309 3RD AVE
City SAN DIEGO
State CA
Zip Code 92103-1407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689889289 New Alternatives, Inc. Clinic/Center 4309 3rd Ave, San Diego, CA 92103-1407 2007-05-14
1932716966 Samantha Eklund Registered Nurse 4309 3rd Ave, San Diego, CA 92103-1407 2020-09-24
1710594742 Ashley Nicole Gatoloai Licensed Psychiatric Technician 4309 3rd Ave, San Diego, CA 92103-1407 2020-09-24
1194332122 Jacob Couture Registered Nurse 4309 3rd Ave, San Diego, CA 92103-1407 2020-09-24
1861008138 Brandy Lizette Munoz Licensed Vocational Nurse 4309 3rd Ave, San Diego, CA 92103-1407 2020-09-21
1356955355 Diana Munoz Marriage & Family Therapist 4309 3rd Ave, San Diego, CA 92103-1407 2020-09-07
1982218160 Ruben Dela Cruz Quiocho Licensed Vocational Nurse 4309 3rd Ave, San Diego, CA 92103-1407 2020-09-03
1780296905 Gustavo Fonseca Registered Nurse 4309 3rd Ave, San Diego, CA 92103-1407 2020-08-19
1538777586 Alexa Brozick Registered Nurse 4309 3rd Ave, San Diego, CA 92103-1407 2020-07-16
1972111870 Brent P Davis Registered Nurse 4309 3rd Ave, San Diego, CA 92103-1407 2020-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396346359 Christina L Thomas Counselor 4611 Alamo Dr, San Diego, CA 92115-5907 2020-11-05
1639779101 Paula Perez Counselor 5882 Adobe Falls Rd, San Diego, CA 92120-4600 2020-10-26
1558974378 Monica Dixon Counselor 4930 Naples St Fl 1, San Diego, CA 92110-3820 2020-08-31
1952911612 Shannon Kathleen Nolte Counselor 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 2020-08-06
1033728498 Hala Kadhem Counselor 1664 Broadway, El Cajon, San Diego, CA 92021 2020-07-30
1487279493 Christi Susan Leyva Counselor 10417 Crosscreek Ter, San Diego, CA 92131-1344 2020-06-15
1285256099 Jehna Barnes Counselor 3636 Camino Del Rio N, San Diego, CA 92108-1703 2020-05-14
1457973455 Cassandra Detgen Counselor 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 2020-05-12
1972131589 Douglas Baker Marriage and Family Therapy, Inc. Counselor 2911 Adams Ave # 5, San Diego, CA 92116-1509 2020-03-30
1255966859 Job Brunat Counselor 4169 38th St Apt 10, San Diego, CA 92105-1367 2020-03-04
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Competitor

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City SAN DIEGO
Zip Code 92103

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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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