Individual provider Active NPI

Katrin Todd Weir

  • Forensic Psychologist
  • Indian Orchard, MA
National Provider Identifier
1154451177
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
6803 Issued in MA
Practice address
529 Main St
Suite #1
Indian Orchard, MA 01151-1228
Phone
(413) 543-5865
Fax
(413) 543-2202
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

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
Forensic Psychologist 103TF0200X 6803 MA Primary

Addresses

Primary practice location

529 Main St
Suite #1
Indian Orchard, MA 01151-1228

Mailing address

4 Hitching Post LN
Wilbraham, MA 01095-1712
Phone (413) 599-1701

Other names 1

  • Katrin Rouse Weir Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210304000830 CT Practitioner - Clinical Psychologist 3476969106 Reassigns benefits to 1 organization
I20210330000591 MA Practitioner - Clinical Psychologist 3476969106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Association IncGroup PAC ID 6305186784, 6 clinicians

Practice addresses (Care Compare)

1 Federal St
BLDG 103 1
Springfield, MA 01105-1199
Phone (413) 734-5376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6803MAMDForensic Psychologist
3264CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Feb 1, 2021 Accepting new patients
Mental Health Association, Inc. CurrentSince Nov 7, 2022 Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Feb 1, 2021 Accepting new patients
Mental Health Association, Inc. PastSince Mar 24, 2025 Accepting new patients

Locations

581 Poquonock Ave
Windsor, CT 06095
Phone (860) 688-7211

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

350 Memorial Dr
Chicopee, MA 01020
Phone (413) 594-2211

1 Federal St
Bldg 1031
Springfield, MA 01105
Phone (413) 233-5232

153 Magazine St
Springfield, MA 01109
Phone (413) 734-5376

995 Worthington St
Springfield, MA 01109
Phone (413) 734-5376

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154451177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HITCHING POST LN",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951712",
            "telephone_number": "413-599-1701",
            "fax_number": "413-543-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 MAIN ST",
            "address_2": "SUITE #1",
            "city": "INDIAN ORCHARD",
            "state": "MA",
            "postal_code": "011511228",
            "telephone_number": "413-543-5865",
            "fax_number": "413-543-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIR",
        "first_name": "KATRIN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MA",
            "license": "6803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRIN",
            "last_name": "ROUSE WEIR",
            "credential": "ED.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Indian Orchard, MA

Sources for this page

Verify at the official NPI Registry.