Individual provider Active NPI

Megan Michelle Vaganek, PHD

  • School Psychologist
  • Alexandria, VA
National Provider Identifier
1285131706
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
0813000624 Issued in VA
Practice address
1340 Braddock PL
Alexandria, VA 22314-1693
Phone
(703) 619-8169
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 0813000624 VA Primary

Addresses

Primary practice location

1340 Braddock PL
Alexandria, VA 22314-1693

Mailing address

1340 Braddock PL
Alexandria, VA 22314-1693

Other practice location 1

3600 Commonwealth Ave
Alexandria, VA 22305-2810
Phone (703) 706-4420

Other identifiers 1

IdentifierTypeStateIssuer
0813000624MedicaidVA

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0813000624VAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Francis C Hammond PastSince May 26, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1285131706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BRADDOCK PL",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BRADDOCK PL",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141693",
            "telephone_number": "703-619-8169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Commonwealth Ave",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223052810",
            "country_code": "US",
            "telephone_number": "703-706-4420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAGANEK",
        "first_name": "MEGAN",
        "middle_name": "MICHELLE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "0813000624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0813000624",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.