Active NPI
Gail Toycen Weyerhaeuser, PHD
- Psychologist
- Tacoma, WA
National Provider Identifier
1720163389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY00002449
- Practice address
- 1250 Pacific Ave
Ste #875
Tacoma, WA 98402 - Phone
- (253) 572-2745
- Fax
- (253) 572-2947
- NPI assigned
- Oct 25, 2006
- Last updated
- Apr 29, 2014
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY00002449 | WA | Primary |
| Clinical Psychologist | 103TC0700X | PY2449 | WA |
Addresses
Primary practice location
1250 Pacific Ave
Ste #875
Tacoma, WA 98402
Mailing address
1250 Pacific Ave
Ste #875
Tacoma, WA 98402
Phone (253) 572-2745
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8858015 | Other | WA | MEDICARE GRP PIN |
| 8201WE | Other | WA | REGENCE |
| 524703 | Other | WA | VALUE OPTIONS |
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 |
|---|---|---|---|
| PY00002449 | WA | MD | Psychologist |
| PY2449 | WA | MD | Clinical Psychologist |
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.
-
- Clinical Psychologist
- Tacoma, WA
- NPI 1497943377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1720163389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 PACIFIC AVE",
"address_2": "STE #875",
"city": "TACOMA",
"state": "WA",
"postal_code": "98402",
"telephone_number": "253-572-2745",
"fax_number": "253-572-2947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 PACIFIC AVE",
"address_2": "STE #875",
"city": "TACOMA",
"state": "WA",
"postal_code": "98402",
"telephone_number": "253-572-2745",
"fax_number": "253-572-2947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEYERHAEUSER",
"first_name": "GAIL",
"middle_name": "TOYCEN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY00002449",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY2449",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GRP PIN",
"identifier": "G8858015",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "8201WE",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "524703",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.