Active NPI
Megan Alexandra Verlage
- Psychiatry Physician
- Dublin, OH
National Provider Identifier
1346778198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35.144426
- Practice address
- 5080 Bradenton Ave Ste D
Dublin, OH 43017-7581 - Phone
- (857) 998-1782
- NPI assigned
- May 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | S3083 | TX | |
| Psychiatry Physician | 2084P0800X | MED-PHYS-LIC-113301 | MT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10061213 | TX | |
| Psychiatry Physician | 2084P0800X | 35.144426 | OH | Primary |
Addresses
Primary practice location
5080 Bradenton Ave Ste D
Dublin, OH 43017-7581
Mailing address
5080 Bradenton Ave Ste D
Dublin, OH 43017-7581
Other practice location 1
1935 Harry Hines Blvd
Dallas, TX 75390-0001
Phone (214) 456-2735
Other practice location 2
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (469) 419-0582
Other practice location 3
27 N 27th St
Billings, MT 59101-2357
Phone (406) 200-8471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Sep 8, 2022 through Sep 8, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PHYS-LIC-113301 | MT | MD | Psychiatry Physician |
| 35.144426 | OH | MD | Psychiatry Physician |
| S3083 | TX | MD | Psychiatry Physician |
| BP10061213 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lumen Mental Health | Psychiatry | Current | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
5080 Bradenton Ave
Ste D
Dublin, OH 43017
Phone (206) 785-1015
Interoperability endpoints
- megan.verlage.1@29777.direct.athenahealth.com
- mverlage68080@direct.phhs.org
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Dublin, OH
- NPI 1720716723
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1346778198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 BRADENTON AVE STE D",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430177581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5080 BRADENTON AVE STE D",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430177581",
"telephone_number": "857-998-1782"
}
],
"practiceLocations": [
{
"address_1": "1935 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "753900001",
"country_code": "US",
"telephone_number": "214-456-2735",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5200 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357709",
"country_code": "US",
"telephone_number": "469-419-0582",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27 N 27th St",
"address_purpose": "LOCATION",
"city": "Billings",
"state": "MT",
"postal_code": "591012357",
"country_code": "US",
"telephone_number": "406-200-8471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERLAGE",
"first_name": "MEGAN",
"middle_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-24",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "S3083",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MT",
"license": "MED-PHYS-LIC-113301",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10061213",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.144426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.