Active NPI
Terry Charles Weyl, PH.D.
- Psychologist
- Placerville, CA
National Provider Identifier
1376702415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY6138
- Practice address
- 941 Spring St Ste 5
Placerville, CA 95667-4546 - Phone
- (530) 341-8772
- Fax
- (530) 698-5241
- NPI assigned
- Jun 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY6138 | CA | Primary |
Addresses
Primary practice location
941 Spring St Ste 5
Placerville, CA 95667-4546
Mailing address
941 Spring St Ste 5
Placerville, CA 95667-4546
Phone (530) 341-8772
Other practice location 1
5832 Shelldrake Ct
Fair Oaks, CA 95628-2728
Phone (916) 716-8262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY061380 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY6138 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cameron Park Counseling Center, Inc. | Current | Accepting new patients | |
| Professional Services Associates a Professional Psychological Corporat | Psychologist | Current | Accepting new patients |
| Cameron Park Counseling Center | Past | Accepting new patients |
Locations
3330 Heights Dr
Ste 120
Cameron Park, CA 95682
Phone (530) 677-4404
941 Spring St
Ste 5
Placerville, CA 95667
Phone (530) 341-8772
Organizations & group practices 3
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.
-
- Psychologist
- Placerville, CA
- NPI 1255860854
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cameron Park, CA
- NPI 1477760874
-
- Point of Service
- Cameron Park, CA
- NPI 1093104325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1376702415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 SPRING ST STE 5",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956674546",
"telephone_number": "530-341-8772",
"fax_number": "530-698-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 SPRING ST STE 5",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956674546",
"telephone_number": "530-341-8772",
"fax_number": "530-698-5241"
}
],
"practiceLocations": [
{
"address_1": "5832 Shelldrake Ct",
"address_purpose": "LOCATION",
"city": "Fair Oaks",
"state": "CA",
"postal_code": "956282728",
"country_code": "US",
"telephone_number": "916-716-8262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEYL",
"first_name": "TERRY",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY6138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY061380",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.