Wendy Weaver-Graham, PH.D

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS015236 Issued in PA

Practice address

520 Washington Rd
Mount Lebanon, PA 15228-2819

Phone

(412) 561-6776

Fax

(412) 343-2130

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

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• Mind Body Center, PLLC

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  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1457375784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WASHINGTON RD",
            "city": "MOUNT LEBANON",
            "state": "PA",
            "postal_code": "152282819",
            "telephone_number": "412-561-6776",
            "fax_number": "412-343-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WASHINGTON RD",
            "city": "MOUNT LEBANON",
            "state": "PA",
            "postal_code": "152282819",
            "telephone_number": "412-561-6776",
            "fax_number": "412-343-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER-GRAHAM",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS015236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1746370",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101945439",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Smith, CCTS,CGLC
• Ryan Smith, BA,CSMS,CNLP,CHHP
• Sonder Wellness Corporation
• Stonehendge Inc.
• Jeremy Udkoff
• Nicolene Mary Zapach, M.A.
• Nikolai Sava Zdrale, M.D.

• Counseling Psychologist in Mount Lebanon, PA
• Providers in Mount Lebanon, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.