Active NPI
Mark Weilage, PHD
- Psychologist
- Bellevue, NE
National Provider Identifier
1700264892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 479
- Practice address
- 3308 Samson Way
Suite 101
Bellevue, NE 68123-3234 - Phone
- (402) 827-1577
- Fax
- (402) 898-3134
- NPI assigned
- May 11, 2015
- Last updated
- May 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 479 | NE | Primary |
Addresses
Primary practice location
3308 Samson Way
Suite 101
Bellevue, NE 68123-3234
Mailing address
7261 Mercy Rd
Omaha, NE 68124-2311
Phone (402) 398-6248
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 479 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings Physical Therapy Inc. | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1700264892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 MERCY RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242311",
"telephone_number": "402-398-6248",
"fax_number": "402-829-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3308 SAMSON WAY",
"address_2": "SUITE 101",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681233234",
"telephone_number": "402-827-1577",
"fax_number": "402-898-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEILAGE",
"first_name": "MARK",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.