Individual provider Active NPI

Meghan Siobhan Vandewettering, MD

  • Psychiatry Physician
  • Beaverton, OR
National Provider Identifier
1689323545
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
078850 Issued in CT
Practice address
15455 NW Greenbrier Pkwy Ste 120
Beaverton, OR 97006-8115
Phone
(503) 476-1189
Fax
(866) 650-8756
NPI assigned
Mar 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 078850 CT Primary

Addresses

Primary practice location

15455 NW Greenbrier Pkwy Ste 120
Beaverton, OR 97006-8115

Mailing address

15455 NW Greenbrier Pkwy Ste 120
Beaverton, OR 97006-8115
Phone (503) 476-1189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424003410 CT Practitioner - Psychiatry 8325417249 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
078850CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Natchaug Hospital, Inc. CurrentSince Apr 21, 2025 Accepting new patients
The William W Backus Hospital Psychiatry CurrentSince Jul 1, 2025 Accepting new patients
William W Backus Hospital CurrentSince Jul 1, 2025 Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Jul 1, 2025 Accepting new patients
The William W Backus Hospital Current Accepting new patients

Locations

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Interoperability endpoints

  • Direct secure messaging: mvandewettering570766@direct.ynhh.org

Organizations & group practices 5

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": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1689323545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY STE 120",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068115",
            "telephone_number": "503-476-1189",
            "fax_number": "866-650-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY STE 120",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068115",
            "telephone_number": "503-476-1189",
            "fax_number": "866-650-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEWETTERING",
        "first_name": "MEGHAN",
        "middle_name": "SIOBHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-19",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "078850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.