Individual provider Active NPI

Valerie Michele Weck, PH.D.

  • Clinical Psychologist
  • Robinson, IL
National Provider Identifier
1679862056
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008098 Issued in IL
Practice address
204 W Highland Ave
Robinson, IL 62454-1710
Phone
(812) 269-2306
Fax
(812) 602-0078
NPI assigned
Apr 6, 2011
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20042457A IN
Clinical Psychologist 103TC0700X 071008098 IL Primary

Addresses

Primary practice location

204 W Highland Ave
Robinson, IL 62454-1710

Mailing address

PO Box 854
Robinson, IL 62454-0854
Phone (812) 269-2306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110616000514 IL Practitioner - Clinical Psychologist 1153509351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 W Highland Ave
Robinson, IL 62454-1710
Phone (812) 269-2306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071008098ILMDClinical Psychologist
20042457AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
True North Psychological Services Clinical CurrentSince Jun 4, 2020 Accepting new patients

Locations

204 W Highland Ave
Robinson, IL 62454
Phone (618) 546-1021

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1679862056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 854",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624540854",
            "telephone_number": "812-269-2306",
            "fax_number": "812-602-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W HIGHLAND AVE",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541710",
            "telephone_number": "812-269-2306",
            "fax_number": "812-602-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WECK",
        "first_name": "VALERIE",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2021-12-30",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042457A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robinson, IL

Sources for this page

Verify at the official NPI Registry.