Individual provider Active NPI

Megan Carter, PHD, PSY.D

  • Clinical Child & Adolescent Psychologist
  • Springfield, VA
National Provider Identifier
1962053736
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
8134 Old Keene Mill Rd Ste 101
Springfield, VA 22152-1849
Phone
(703) 569-8731
Fax
(703) 569-7248
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X Primary

Addresses

Primary practice location

8134 Old Keene Mill Rd Ste 101
Springfield, VA 22152-1849

Mailing address

8134 Old Keene Mill Rd Ste 101
Springfield, VA 22152-1849
Phone (703) 569-8731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20241029002663 DC Practitioner - Clinical Psychologist 0446783401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Clinical ServicesGroup PAC ID 1254496888, 13 clinicians

Practice addresses (Care Compare)

8134 Old Keene Mill Rd
Suite 101
Springfield, VA 22152-1849
Phone 7035698731214

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Clinical Services CurrentSince Oct 22, 2024 Accepting new patients

Locations

8348 Traford Ln
Ste 102
Springfield, VA 22152
Phone (703) 569-8731

8134 Old Keene Mill Rd
Ste 101
West Springfield, VA 22152
Phone (703) 569-8731

Organizations & group practices 1

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1962053736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8134 OLD KEENE MILL RD STE 101",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521849",
            "telephone_number": "703-569-8731",
            "fax_number": "703-569-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8134 OLD KEENE MILL RD STE 101",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521849",
            "telephone_number": "703-569-8731",
            "fax_number": "703-569-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MEGAN",
        "credential": "PHD, PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.