Lisa Loraine Weaver, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2-3812 Issued in TX

Practice address

701 N Post Oak Rd
Suite 320
Houston, TX 77024-3839

Phone

(713) 781-2220

Fax

(713) 688-0101

NPI assigned

Nov 10, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Lisa L. Weaver, PH.D., P.C.

  • Clinical Psychologist
  • Houston, TX
  • NPI 1700010790
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1467523738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N POST OAK RD",
            "address_2": "SUITE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770243839",
            "telephone_number": "713-781-2220",
            "fax_number": "713-688-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N POST OAK RD",
            "address_2": "SUITE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770243839",
            "telephone_number": "713-781-2220",
            "fax_number": "713-688-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "LISA",
        "middle_name": "LORAINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "2-3812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098740602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00H71R",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antwanette D Weaver
• Collin Weaver, PA-C
• Grace Dailey Weaver, MS, LPC-A
• Heather Marie Weaver, NP
• Lauren R. Weaver, CRNA
• Matthew Davis Weaver, MD
• Michael F. Weaver, M.D.
• Olena Olegovna Weaver, M.D.
• Preston Weaver, MD
• Rachel Elizabeth Weaver, APRN, ANP-BC

• Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.