MEDICARE: MEGAN HENCINSKI PSYD

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	0810005802	VA
2	172A00000X	Driver
3	103TC0700X	Clinical Psychologist	PSY.0006165	CO

General Provider Information

NPI Number	:	1447684477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN HENCINSKI PSYD

Provider Business Mailing Address
First Line	:	323 E 27TH ST
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-3203
Country	:	US
Telephone Number	:	970-310-3406
Fax Number	:

Provider Business Practice Location Address
First Line	:	323 E 27TH ST
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-3203
Country	:	US
Telephone Number	:	571-243-4842
Fax Number	:

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

Provider Enumeration Date	:	08/27/2013
Last Update Date	:	08/20/2025

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