Theresa (Tracy) M. Weeks, Psy.D, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6838 Issued in OH

Legal business name

THERESA (TRACY) M. WEEKS, PSY.D, LLC

Practice address

7681 Tylers Place Blvd
Suite 2
West Chester, OH 45069-6392

Phone

(513) 508-2628

Fax

(513) 779-9209

NPI assigned

Apr 6, 2015

Organization subpart

No

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

Authorized official

Name

Theresa M Weeks, PSY.DNPI 1871558866

Title

Sole Proprietor

Phone

(513) 257-5873

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa M Weeks, PSY.D

  • Clinical Psychologist
  • Blue Ash, OH
  • NPI 1871558866
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1134514193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7681 TYLERS PLACE BLVD",
            "address_2": "SUITE 2",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696392",
            "telephone_number": "513-508-2628",
            "fax_number": "513-779-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7681 TYLERS PLACE BLVD",
            "address_2": "SUITE 2",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696392",
            "telephone_number": "513-508-2628",
            "fax_number": "513-779-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA (TRACY) M. WEEKS, PSY.D, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "513-257-5873",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in West Chester, OH
• Providers in West Chester, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.