Individual provider Active NPI

Barbara Weber, L.P.

  • Clinical Psychologist
  • Sault Sainte Marie, MI
National Provider Identifier
1124116223
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
BW010982 Issued in MI
Practice address
3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286
Phone
(906) 632-2805
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 BW010982 MI Primary

Addresses

Primary practice location

3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286

Mailing address

3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286

Other identifiers 1

IdentifierTypeStateIssuer
7509104110OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040604000363 MI Practitioner - Clinical Psychologist 1850373606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weber and Devers Psychological Services PCGroup PAC ID 3870575624, 7 clinicians

Practice addresses (Care Compare)

605 E 7TH Ave
Apt 9
Sault Sainte Marie, MI 49783-3111
Phone (906) 635-7270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BW010982MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Weber and Devers Psychological Services, P.C. CurrentSince Jan 1, 2004 Accepting new patients
Hiawatha Community Mental Health Authority Past Accepting new patients
Hiawatha Community Behavioral Health Authority Past Accepting new patients
Chippewa County Health Department Past Accepting new patients
Hiawatha Community Mental Health Authority Past Accepting new patients

Locations

605 E 7th Ave
Apt 9
Sault South Marie, MI 49783
Phone (906) 635-7270

Organizations & group practices 5

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124116223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 S MACKINAC TRL",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497839286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 S MACKINAC TRL",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497839286",
            "telephone_number": "906-632-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "BARBARA",
        "credential": "L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "BW010982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7509104110",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

Verify at the official NPI Registry.