NPIMap

Organization Active NPI

Kelly M. Weaver, PH.D., Inc.

  • Psychologist
  • Columbus, OH
National Provider Identifier
1770678146
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5796 Issued in OH
Legal business name
KELLY M. WEAVER, PH.D., INC.
Practice address
3011 Bethel Rd
Suite 100
Columbus, OH 43220-6104
Phone
(614) 459-2156
Fax
(614) 451-1381
NPI assigned
Oct 3, 2006
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dr. Kelly M. Weaver, PH.D.NPI 1275575334
Title
President
Phone
(614) 459-2156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5796 OH Primary

Addresses

Primary practice location

3011 Bethel Rd
Suite 100
Columbus, OH 43220-6104

Mailing address

3011 Bethel Rd
Suite 100
Columbus, OH 43220-6104
Phone (614) 459-2156

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1770678146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 BETHEL RD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432206104",
            "telephone_number": "614-459-2156",
            "fax_number": "614-451-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 BETHEL RD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432206104",
            "telephone_number": "614-459-2156",
            "fax_number": "614-451-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY M. WEAVER, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-459-2156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.