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Individual provider Active NPI

Susan Elaine Weber, PSYD

  • Clinical Psychologist
  • Flint Hill, VA
National Provider Identifier
1023349073
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004774 Issued in VA
Practice address
323 Zachary Taylor Hwy
Flint Hill, VA 22627-1867
Phone
(540) 671-3563
Fax
(703) 783-0099
NPI assigned
Jan 14, 2010
Last updated
Sep 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810004774 VA Primary
Clinical Child & Adolescent Psychologist 103TC2200X 0810004774 VA

Addresses

Primary practice location

323 Zachary Taylor Hwy
Flint Hill, VA 22627-1867

Mailing address

PO Box 333
Flint Hill, VA 22627-0333
Phone (540) 671-3563

Other practice location 1

602 Zachary Taylor Highway
Ste 428
Flint Hill, VA 22627-0428
Phone (540) 671-3563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, VA, WV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150210002164 CO Practitioner - Clinical Psychologist 1951432285 Reassigns benefits to 1 organization
I20160128000020 VA Practitioner - Clinical Psychologist 1951432285 Reassigns benefits to 2 organizations
I20200729004140 WV Practitioner - Clinical Psychologist 1951432285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meditelecare of West Virginia PLLCGroup PAC ID 5496018509, 18 clinicians
Meditelecare of Virginia LLCGroup PAC ID 2163785973, 5 clinicians

Practice addresses (Care Compare)

100 Hillcrest Dr
Williamson, WV 25661-3948
Phone (832) 742-0117

120 Old Virginia Ave
Rich Creek, VA 24147-9669
Phone (832) 742-0117

400 Fairview Heighs Rd
Summersville, WV 26651-9308
Phone (832) 742-0117

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810004774VAMDClinical Child & Adolescent Psychologist
3277COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Riches Osteopathic Medical Associates Inc CurrentSince Oct 7, 2015 Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1023349073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "FLINT HILL",
            "state": "VA",
            "postal_code": "226270333",
            "telephone_number": "540-671-3563",
            "fax_number": "703-783-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 ZACHARY TAYLOR HWY",
            "city": "FLINT HILL",
            "state": "VA",
            "postal_code": "226271867",
            "telephone_number": "540-671-3563",
            "fax_number": "703-783-0099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Zachary Taylor Highway",
            "address_2": "Ste 428",
            "address_purpose": "LOCATION",
            "city": "Flint Hill",
            "state": "VA",
            "postal_code": "226270428",
            "country_code": "US",
            "telephone_number": "540-671-3563",
            "fax_number": "703-783-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004774",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "VA",
            "license": "0810004774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint Hill, VA

Sources for this page

Verify at the official NPI Registry.