Individual provider Active NPI

Stephanie L Weber, PSY.D.

  • Clinical Psychologist
  • Breinigsville, PA
National Provider Identifier
1689062051
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017763 Issued in PA
Practice address
1038 Trexlertown Rd
Breinigsville, PA 18031-1665
Phone
(484) 340-6111
Fax
(484) 860-3209
NPI assigned
Jan 7, 2015
Last updated
Oct 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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 PS017763 PA Primary
Clinical Psychologist 103TC0700X 019056 NY

Addresses

Primary practice location

1038 Trexlertown Rd
Breinigsville, PA 18031-1665

Mailing address

1038 Trexlertown Rd
Breinigsville, PA 18031-1665

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS017763PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Weber Psychological, LLC Clinical CurrentSince Feb 23, 2025 Accepting new patients
Quaker State Medical Services Co Inc Past Accepting new patients

Locations

2909 Route 100
Ste 200
Orefield, PA 18069
Phone (484) 340-6111

Organizations & group practices 2

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": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1689062051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 TREXLERTOWN RD",
            "city": "BREINIGSVILLE",
            "state": "PA",
            "postal_code": "180311665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 TREXLERTOWN RD",
            "city": "BREINIGSVILLE",
            "state": "PA",
            "postal_code": "180311665",
            "telephone_number": "484-340-6111",
            "fax_number": "484-860-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017763",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breinigsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.