Active NPI
Jill Parks Weber, PH.D.
- Clinical Psychologist
- McLean, VA
National Provider Identifier
1760598312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810003470
- Practice address
- 7927 Jones Branch Dr
Suite: 6125
MC Lean, VA 22102-3322 - Phone
- (703) 541-1277
- Fax
- (703) 992-0993
- NPI assigned
- Aug 23, 2006
- Last updated
- Jul 27, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810003470 | VA | Primary |
Addresses
Primary practice location
7927 Jones Branch Dr
Suite: 6125
MC Lean, VA 22102-3322
Mailing address
7927 Jones Branch Dr
Suite: 6125
MC Lean, VA 22102-3322
Phone (703) 541-1277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax County, Virginia | 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.
-
dba Fairfax-Falls Church Community Services Board
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairfax, VA
- NPI 1154356244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1760598312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7927 JONES BRANCH DR",
"address_2": "SUITE: 6125",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023322",
"telephone_number": "703-541-1277",
"fax_number": "703-992-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7927 JONES BRANCH DR",
"address_2": "SUITE: 6125",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023322",
"telephone_number": "703-541-1277",
"fax_number": "703-992-0993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "JILL",
"middle_name": "PARKS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.