Individual provider Active NPI

Megan Bartsch Willems, M.D.

  • Child & Adolescent Psychiatry Physician
  • MC Lean, VA
National Provider Identifier
1104025758
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101246907 Issued in VA
Practice address
6862 Elm St
Suite 230
MC Lean, VA 22101-3897
Phone
(703) 942-6101
Fax
(703) 663-9860
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 232117 NY
Child & Adolescent Psychiatry Physician 2084P0804X 0101246907 VA Primary
Psychiatry Physician 2084P0800X 0101246907 VA
Psychiatry Physician 2084P0800X 232117 NY

Addresses

Primary practice location

6862 Elm St
Suite 230
MC Lean, VA 22101-3897

Mailing address

6862 Elm St
Suite 230
MC Lean, VA 22101-3897
Phone (703) 942-6101

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 Medicine

State licenses

LicenseStateTypeSpecialty
232117NYMDPsychiatry Physician
0101246907VAMDPsychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1104025758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6862 ELM ST",
            "address_2": "SUITE 230",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013897",
            "telephone_number": "703-942-6101",
            "fax_number": "703-663-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6862 ELM ST",
            "address_2": "SUITE 230",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013897",
            "telephone_number": "703-942-6101",
            "fax_number": "703-663-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEMS",
        "first_name": "MEGAN",
        "middle_name": "BARTSCH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "232117",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101246907",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101246907",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "232117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.