Individual provider Active NPI

Christopher G Weaver, PSYD

  • Psychologist
  • Beaumont, TX
National Provider Identifier
1063811735
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
36418 Issued in TX
Practice address
2615 Calder St
Ste 640
Beaumont, TX 77702-1115
Phone
(214) 396-3960
Fax
(214) 396-3962
NPI assigned
Aug 19, 2014
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 36418 TX Primary
Psychologist 103T00000X 7323 TX

Addresses

Primary practice location

2615 Calder St
Ste 640
Beaumont, TX 77702-1115

Mailing address

2615 Calder St
Ste 640
Beaumont, TX 77702-1115
Phone (214) 396-3960

Other practice location 1

25810 Oak Ridge Dr
The Woodlands, TX 77380-2016
Phone (281) 364-0067

Other practice location 2

791 Bayou Pines East Dr Unit 4
Lake Charles, LA 70601-7183
Phone (337) 274-2674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA, FL, AL, NE, GA, CO, OH, KY, IN, OK, AZ12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20151120001882 TX Practitioner - Clinical Psychologist 7517267750 Reassigns benefits to 1 organization
I20220301001483 LA Practitioner - Clinical Psychologist 7517267750 Practice locations: Lake Charles, LA
I20231121001326 FL Practitioner - Clinical Psychologist 7517267750 Reassigns benefits to 1 organization
I20240307003037 AL Practitioner - Clinical Psychologist 7517267750 Reassigns benefits to 1 organization
I20240403003217 NE Practitioner - Clinical Psychologist 7517267750 Reassigns benefits to 1 organization
I20240415000612 GA Practitioner - Clinical Psychologist 7517267750 Reassigns benefits to 1 organization
I20240521004249 CO Practitioner - Clinical Psychologist 7517267750 Reassigns benefits to 1 organization
I20240528001083 OH Practitioner - Clinical Psychologist 7517267750 Reassigns benefits to 1 organization
I20240911004364 KY Practitioner - Clinical Psychologist 7517267750 Reassigns benefits to 1 organization
I20241202000746 IN Practitioner - Clinical Psychologist 7517267750 Reassigns benefits to 1 organization
I20250204001872 OK Practitioner - Clinical Psychologist 7517267750 Reassigns benefits to 1 organization
I20250225003315 AZ Practitioner - Clinical Psychologist 7517267750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Glenn J Bricken and Assoc P CGroup PAC ID 8426038027, 8 clinicians

Practice addresses (Care Compare)

13340 California St
Suite 101
Omaha, NE 68154-5255
Phone (281) 364-0067

1830 N Bernard Cir
Mesa, AZ 85207-4377
Phone (281) 364-0067

2002 12TH Ave NW
Suite B
Ardmore, OK 73401-1206
Phone (281) 364-0067

2300 Manchester Expressway
Suite 006
Columbus, GA 31904
Phone (281) 364-0067

25810 Oak Ridge Dr
The Woodlands, TX 77380-2016
Phone (281) 364-0067

455 S Landmark Ave
Bloomington, IN 47403-5004
Phone (281) 364-0067

5175 Italia CT
Ave Maria, FL 34142-9614
Phone (281) 364-0067

602 Cameron CT
Auburn, AL 36830-2997
Phone (281) 364-0067

6025 Delmonico Dr
Colorado Springs, CO 80919-2251
Phone (281) 364-0067

6801 Dixie Hwy
Suite 135
Louisville, KY 40258-3952
Phone (281) 364-0067

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7323AZMDDentist
36418TXMDDentist
1620LAMDRegistered Dietitian
7323OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Glenn J Bricken & Assoc P C CurrentSince Jun 7, 2022 Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients
CPST Healthcare, LLC Psychologist PastSince Mar 1, 2024 Accepting new patients

Locations

6025 Delmonico Dr
Colorado Springs, CO 80919
Phone (719) 535-0648

2300 Manchester Expy
Ste 6
Columbus, GA 31904

455 S Landmark Ave
Bloomington, IN 47403
Phone (812) 269-7674

6801 Dixie Hwy
Ste 135
Louisville, KY 40258
Phone (502) 791-8700

13340 California St
Ste 101
Omaha, NE 68154
Phone (402) 614-1999

5040 Forest Dr
Ste 240
New Albany, OH 43054
Phone (740) 653-2500

2002 12th Ave NW
Ste B
Ardmore, OK 73401
Phone (580) 223-4795

25810 Oak Ridge Dr
The Woodlands, TX 77380
Phone (281) 419-9669

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: comprehensivepsychologicalservices.christopherweaver@144579.advancedmd-direct.com

Organizations & group practices 3

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1063811735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 CALDER ST",
            "address_2": "STE 640",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021115",
            "telephone_number": "214-396-3960",
            "fax_number": "214-396-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CALDER ST",
            "address_2": "STE 640",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021115",
            "telephone_number": "214-396-3960",
            "fax_number": "214-396-3962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25810 Oak Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773802016",
            "country_code": "US",
            "telephone_number": "281-364-0067",
            "fax_number": "281-364-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "791 Bayou Pines East Dr Unit 4",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706017183",
            "country_code": "US",
            "telephone_number": "337-274-2674",
            "fax_number": "409-684-3647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "CHRISTOPHER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2024-02-21",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36418",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "7323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.