Active NPI
Heather Weigel, SSP, NCSP
- School Psychologist
- Summit, IL
National Provider Identifier
1639680515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 6021 S. 74TH Avenue
Summit, IL 60501 - Phone
- (708) 458-7590
- NPI assigned
- Oct 18, 2017
- Last updated
- Oct 18, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
6021 S. 74TH Avenue
Summit, IL 60501
Mailing address
6021 S 74TH Ave
Summit, IL 60501-1500
Phone (708) 458-7590
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1639680515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6021 S 74TH AVE",
"city": "SUMMIT",
"state": "IL",
"postal_code": "605011500",
"telephone_number": "708-458-7590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6021 S. 74TH AVENUE",
"city": "SUMMIT",
"state": "IL",
"postal_code": "60501",
"telephone_number": "708-458-7590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIGEL",
"first_name": "HEATHER",
"credential": "SSP, NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summit, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.