Active NPI
Megan McPeak Davis
- School Psychologist
- Fairfax, VA
National Provider Identifier
1740712959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 0803000240
- Practice address
- 3925 Old Lee Hwy Ste 52a
Fairfax, VA 22030-2426 - Phone
- (571) 354-0844
- NPI assigned
- Mar 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 0803000240 | VA | Primary |
Addresses
Primary practice location
3925 Old Lee Hwy Ste 52a
Fairfax, VA 22030-2426
Mailing address
6574 Stoneway CT
Burke, VA 22015-4164
Phone (571) 318-3290
Other names 1
- Megan Margaret McPeak
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0803000240 | VA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1740712959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6574 STONEWAY CT",
"city": "BURKE",
"state": "VA",
"postal_code": "220154164",
"telephone_number": "571-318-3290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 OLD LEE HWY STE 52A",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302426",
"telephone_number": "571-354-0844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MEGAN",
"middle_name": "MCPEAK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": "0803000240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "MCPEAK",
"middle_name": "MARGARET",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.