Organization Active NPI

Center for Child and Family Therapy

  • Clinical Psychologist
  • Indianapolis, IN
National Provider Identifier
1649325408
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20040841A Issued in IN
Legal business name
CENTER FOR CHILD AND FAMILY THERAPY
Practice address
9247 N Meridian St
Suite 1a
Indianapolis, IN 46260-1813
Phone
(317) 815-6030
Fax
(317) 815-6031
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Valerie J Weesner, PHD HSPP
Title
Psychologist President
Phone
(317) 815-6030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 20040841A IN Primary

Addresses

Primary practice location

9247 N Meridian St
Suite 1a
Indianapolis, IN 46260-1813

Mailing address

9247 N Meridian St
Suite 104
Indianapolis, IN 46260-1813
Phone (317) 815-6030

Other identifiers 8

IdentifierTypeStateIssuer
1095259OtherCIGNA
WEESN0001OtherCOMPCARE
0004619395OtherAETNA
31600OtherCERIDIAN
000000202009OtherANTHEM
157012253003OtherCORPHEALTH
P11129664OtherMULTIPLAN
025314OtherMHN

National Provider Directory

National Provider Directory

Locations

9247 N Meridian St
Ste 104
Indianapolis, IN 46260
Phone (317) 418-0597

9247 N Meridian St
Ste 1A
Indianapolis, IN 46260
Phone (317) 815-6030

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649325408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9247 N MERIDIAN ST",
            "address_2": "SUITE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601813",
            "telephone_number": "317-815-6030",
            "fax_number": "317-815-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9247 N MERIDIAN ST",
            "address_2": "SUITE 1A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601813",
            "telephone_number": "317-815-6030",
            "fax_number": "317-815-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CHILD AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEESNER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST PRESIDENT",
        "authorized_official_telephone_number": "317-815-6030",
        "authorized_official_credential": "PHD HSPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040841A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1095259",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPCARE",
            "identifier": "WEESN0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004619395",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERIDIAN",
            "identifier": "31600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000202009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPHEALTH",
            "identifier": "157012253003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P11129664",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "025314",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.