Active NPI
Michael Kean Weaver, LMHC
- Cognitive & Behavioral Psychologist
- Ocala, FL
National Provider Identifier
1467615146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- MH2631
- Practice address
- 3304 SW 34TH Circle
Suite 202
Ocala, FL 34474-7479 - Phone
- (352) 861-4481
- Fax
- (352) 237-8363
- NPI assigned
- Jul 3, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | MH2631 | FL | Primary |
Addresses
Primary practice location
3304 SW 34TH Circle
Suite 202
Ocala, FL 34474-7479
Mailing address
3304 SW 34TH Circle
Suite 202
Ocala, FL 34474-7479
Phone (352) 861-4481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z6331 | Other | BCBS OF FL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH2631 | FL | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1467615146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3304 SW 34TH CIRCLE",
"address_2": "SUITE 202",
"city": "OCALA",
"state": "FL",
"postal_code": "344747479",
"telephone_number": "352-861-4481",
"fax_number": "352-237-8363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3304 SW 34TH CIRCLE",
"address_2": "SUITE 202",
"city": "OCALA",
"state": "FL",
"postal_code": "344747479",
"telephone_number": "352-861-4481",
"fax_number": "352-237-8363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "MICHAEL",
"middle_name": "KEAN",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-03",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "FL",
"license": "MH2631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "Z6331",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.