Individual provider Active NPI

Randy L Weber, PH.D.

  • Clinical Psychologist
  • Harrisonburg, VA
National Provider Identifier
1326146713
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001674 Issued in VA
Practice address
36 Southgate CT
Suite 102
Harrisonburg, VA 22801-9668
Phone
(540) 568-1876
Fax
(540) 574-6076
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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 0810001674 VA Primary

Addresses

Primary practice location

36 Southgate CT
Suite 102
Harrisonburg, VA 22801-9668

Mailing address

21 Southgate CT
# 101
Harrisonburg, VA 22801-9663
Phone (540) 568-1876

Other identifiers 2

IdentifierTypeStateIssuer
7700482MedicaidVA
541672409OtherVATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110428000293 VA Practitioner - Clinical Psychologist 1052444379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charis Institute for Psychological and Family ServicesGroup PAC ID 0244363562, 2 clinicians

Practice addresses (Care Compare)

21 Southgate CT
Suite 101
Harrisonburg, VA 22801-9613
Phone (540) 568-1876

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0810001674VAMDClinical Psychologist

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1326146713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SOUTHGATE CT",
            "address_2": "# 101",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228019663",
            "telephone_number": "540-568-1876",
            "fax_number": "540-574-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SOUTHGATE CT",
            "address_2": "SUITE 102",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228019668",
            "telephone_number": "540-568-1876",
            "fax_number": "540-574-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "RANDY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700482",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "541672409",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.