Individual provider Active NPI

Megan Elizabeth McRae, PSY.D.

  • Clinical Psychologist
  • Ashburn, VA
National Provider Identifier
1902152465
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004619 Issued in VA
Practice address
20905 Professional PLZ
Suite 220
Ashburn, VA 20147-7783
Phone
(703) 858-9841
Fax
(703) 858-9446
NPI assigned
Aug 1, 2012
Last updated
Aug 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810004619 VA Primary

Addresses

Primary practice location

20905 Professional PLZ
Suite 220
Ashburn, VA 20147-7783

Mailing address

20905 Professional PLZ
Suite 220
Ashburn, VA 20147-7783
Phone (703) 858-9841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314000369 NY Practitioner - Clinical Psychologist 5991001281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810004619VAMDClinical Psychologist
021251NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rubenzahl, Knudsen & Associates Psych., Srvcs, P.C. CurrentSince Jan 5, 2016 Accepting new patients
Sterling Behavioral Health Services Clinical PastSince Oct 1, 2001 Accepting new patients

Locations

22670 Summit Dr
Ste 2
Watertown, NY 13601
Phone (315) 772-3332

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1902152465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 PROFESSIONAL PLZ",
            "address_2": "SUITE 220",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477783",
            "telephone_number": "703-858-9841",
            "fax_number": "703-858-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 PROFESSIONAL PLZ",
            "address_2": "SUITE 220",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477783",
            "telephone_number": "703-858-9841",
            "fax_number": "703-858-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.