Active NPI
Martha Jane Merrion PHD PA
- Clinical Psychologist
- Ashburn, VA
National Provider Identifier
1851911390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- MARTHA JANE MERRION PHD PA
- Practice address
- 20130 Lakeview Center PLZ Ste 400
Ashburn, VA 20147-5905 - Phone
- (540) 905-2734
- NPI assigned
- Apr 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martha Merrion, PHD
- Title
- Owner
- Phone
- (540) 905-2734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
20130 Lakeview Center PLZ Ste 400
Ashburn, VA 20147-5905
Mailing address
88 Runnymede Dr
Charles Town, WV 25414-3610
Phone (540) 905-2734
Other practice location 1
13800 Coppermine Rd
Herndon, VA 20171-6163
Phone (540) 905-2734
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587686400000",
"number": "1851911390",
"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": "304-724-7324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20130 LAKEVIEW CENTER PLZ STE 400",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475905",
"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": {
"organization_name": "MARTHA JANE MERRION PHD PA",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-24",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A",
"authorized_official_last_name": "MERRION",
"authorized_official_first_name": "MARTHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-905-2734",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.