MEDICARE: DR. COLIN TAO MENG PSYD, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	027953	NY
2	1041C0700X	Clinical Social Worker	71773	CA

General Provider Information

NPI Number	:	1134666399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COLIN TAO MENG PSYD, LCSW

Provider Business Mailing Address
First Line	:	100 HAVEN AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-2645
Country	:	US
Telephone Number	:	310-435-8690
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 HAVEN AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-2645
Country	:	US
Telephone Number	:	310-435-8690
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2017
Last Update Date	:	01/14/2026

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