Individual provider Active NPI

Samuel Pulliam Weiland Jr., L.M.F.T.

  • Marriage & Family Therapist
  • Franklin, TN
National Provider Identifier
1316099252
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMT243 Issued in TN
Practice address
357 Riverside Dr
Suite 104
Franklin, TN 37064-8963
Phone
(615) 330-3614
Fax
(615) 591-2741
NPI assigned
Jan 18, 2007
Sex
Male
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
Marriage & Family Therapist 106H00000X LMT243 TN Primary

Addresses

Primary practice location

357 Riverside Dr
Suite 104
Franklin, TN 37064-8963

Mailing address

PO Box 681674
Franklin, TN 37068-1674
Phone (615) 330-3614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMT243TNMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316099252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681674",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681674",
            "telephone_number": "615-330-3614",
            "fax_number": "615-591-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 RIVERSIDE DR",
            "address_2": "SUITE 104",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648963",
            "telephone_number": "615-330-3614",
            "fax_number": "615-591-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILAND",
        "first_name": "SAMUEL",
        "middle_name": "PULLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LMT243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.