C. Kirven Weekley, PH.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-0001852 Issued in GA

Legal business name

C. KIRVEN WEEKLEY, PH.D., P.C.

Practice address

752 Holcomb Bridge Rd
Norcross, GA 30071-1325

Phone

(770) 441-9244

Fax

(770) 441-9334

NPI assigned

Apr 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Charles Kirven Weekley III, PH.D.

Title

Owner

Phone

(770) 441-9244

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1477797769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 HOLCOMB BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711325",
            "telephone_number": "770-441-9244",
            "fax_number": "770-441-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 HOLCOMB BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711325",
            "telephone_number": "770-441-9244",
            "fax_number": "770-441-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. KIRVEN WEEKLEY, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "WEEKLEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KIRVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-441-9244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY-0001852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Norcross, GA
• Providers in Norcross, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.