Martha Jane Merrion, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002854 Issued in VA

Practice address

20130 Lakeview Center PLZ FL 4
Ashburn, VA 20147-5904

Phone

(540) 905-2734

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Neuropsychological and Psychological Services, P.C.

  • Clinical Neuropsychologist
  • Alexandria, VA
  • NPI 1740363415
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1467588558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 RUNNYMEDE DR",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254143610",
            "telephone_number": "540-905-2734",
            "fax_number": "047-247-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20130 LAKEVIEW CENTER PLZ FL 4",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475904",
            "telephone_number": "540-905-2734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13800 Coppermine Rd",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201716163",
            "country_code": "US",
            "telephone_number": "540-905-2734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRION",
        "first_name": "MARTHA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Mensah, FNP
• Mental Health & Addiction Support Services, LLC
• Samantha Aviles Meraw, PSY.D
• Elise Madison Merola
• Corrie Merriman
• Mesi Health LLC
• India Shakita Messam
• Janae Messick
• Michael S Han DDS PC
• Kendall Nicole Mikkelsen, MS, LAT, ATC

• Clinical Psychologist in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.