Individual provider Active NPI

Tonya Weaver, PSY.D.

  • School Psychologist
  • Orlando, FL
National Provider Identifier
1659863165
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1267 Issued in FL
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

Updated by the provider on May 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X IMH16639 FL
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
IMH16639FLMDMental Health Counselor
SS1267FLMDSchool 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.

Verify at the official NPI Registry.