Individual provider Active NPI

Julie A Weger, PHD

  • Psychologist
  • Moline, IL
National Provider Identifier
1336117571
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
/071-006393 Issued in IL
Practice address
3302 41St St
Moline, IL 61265-7830
Phone
(309) 764-3912
Fax
(309) 736-1804
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X /071-006393 IL Primary

Addresses

Primary practice location

3302 41St St
Moline, IL 61265-7830

Mailing address

3302 41St St
Moline, IL 61265-7830
Phone (309) 764-3912

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
/071-006393ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Perspectives Psychologist PastSince May 1, 2005 Accepting new patients

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1336117571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 41ST ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657830",
            "telephone_number": "309-764-3912",
            "fax_number": "309-736-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 41ST ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657830",
            "telephone_number": "309-764-3912",
            "fax_number": "309-736-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGER",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "/071-006393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.