NPIMap

Organization Active NPI

Weatherby & Associates, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Mexico, MO
National Provider Identifier
1073909511
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
WEATHERBY & ASSOCIATES, LLC
Practice address
1323 N Washington St
Mexico, MO 65265-3352
Phone
(573) 470-6826
NPI assigned
Apr 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Mr. Justin Ray Weatherby
Title
Chief Executive Officer
Phone
(573) 784-0819

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

1323 N Washington St
Mexico, MO 65265-3352

Mailing address

1323 N Washington St
Mexico, MO 65265-3352

Other names 1

  • Weatherby Asset Management Group, LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1073909511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 N WASHINGTON ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 N WASHINGTON ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653352",
            "telephone_number": "573-470-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEATHERBY & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "WEATHERBY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "573-784-0819",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weatherby Asset Management Group, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mexico, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.