Individual provider Active NPI

Charles Frederick Weyl, M.S.S., J.D., PSY.D.

  • Psychologist
  • Mohnton, PA
National Provider Identifier
1740369651
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS007416L Issued in PA
Practice address
731 Imperial Dr
Mohnton, PA 19540-8834
Phone
(610) 994-3105
Fax
(610) 590-0445
NPI assigned
Nov 2, 2006
Last updated
Dec 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS007416L PA Primary

Addresses

Primary practice location

731 Imperial Dr
Mohnton, PA 19540-8834

Mailing address

731 Imperial Dr
Mohnton, PA 19540-8834
Phone (610) 994-3105

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
Juris Doctor

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1740369651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 IMPERIAL DR",
            "city": "MOHNTON",
            "state": "PA",
            "postal_code": "195408834",
            "telephone_number": "610-994-3105",
            "fax_number": "610-590-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 IMPERIAL DR",
            "city": "MOHNTON",
            "state": "PA",
            "postal_code": "195408834",
            "telephone_number": "610-994-3105",
            "fax_number": "610-590-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYL",
        "first_name": "CHARLES",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.S.S., J.D., PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007416L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mohnton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.