Child and Teen Therapy Solutions LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CHILD AND TEEN THERAPY SOLUTIONS LLC

Practice address

205 West Walnut Street
Springfield, MO 65806-2096

Phone

(417) 425-9100

Fax

(417) 595-4038

NPI assigned

Oct 17, 2018

Organization subpart

No

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

Authorized official

Name

Glenna Marie Weis, PHDNPI 1528085172

Title

Sole Proprietor

Phone

(417) 425-9100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Glenna Marie Weis, PHD

  • Clinical Psychologist
  • Springfield, MO
  • NPI 1528085172
  NPD (past) Authorized official

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1255807293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WEST WALNUT STREET",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062096",
            "telephone_number": "417-425-9100",
            "fax_number": "417-595-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WEST WALNUT STREET",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062096",
            "telephone_number": "417-425-9100",
            "fax_number": "417-595-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND TEEN THERAPY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "WEIS",
        "authorized_official_first_name": "GLENNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "417-425-9100",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chest and Sleep Institute of Springfield
• Chesterfield Family Dental at Kingsley
• Chestnut Wellness Center PC
• Chukwudi Obiora Chiaghana, M.D.
• Christopher L Chiarino, LPC
• Ramya Sree Chilukuri, MD
• Jagdeep Chinna, M.D.
• Melanie Chisam, P.A.
• Laurel Chism, LMT
• Neal Cho, PHARM.D.

• Clinical Psychologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.