Active NPI
Tonya Weaver, PSY.D.
- School Psychologist
- Orlando, FL
National Provider Identifier
1659863165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS1267
- Practice address
- 5104 N Orange Blossom TRL Ste 116
Orlando, FL 32810-1013 - Phone
- (800) 361-1605
- NPI assigned
- May 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH16639 | FL | |
| School Psychologist | 103TS0200X | SS1267 | FL | Primary |
Addresses
Primary practice location
5104 N Orange Blossom TRL Ste 116
Orlando, FL 32810-1013
Mailing address
410 E Windhorst Rd
Brandon, FL 33510-2530
Phone (321) 331-1247
Other practice location 1
23540 State Road 54 Ste 106
Lutz, FL 33559-6753
Phone (813) 445-8844
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 |
|---|---|---|---|
| IMH16639 | FL | MD | Mental Health Counselor |
| SS1267 | FL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1659863165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 E WINDHORST RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335102530",
"telephone_number": "321-331-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5104 N ORANGE BLOSSOM TRL STE 116",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328101013",
"telephone_number": "800-361-1605"
}
],
"practiceLocations": [
{
"address_1": "23540 State Road 54 Ste 106",
"address_purpose": "LOCATION",
"city": "Lutz",
"state": "FL",
"postal_code": "335596753",
"country_code": "US",
"telephone_number": "813-445-8844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEAVER",
"first_name": "TONYA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH16639",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS1267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.