Theresa M Weeks, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6838 Issued in OH

Practice address

4450 Carver Woods Dr
Blue Ash, OH 45242-5527

Phone

(513) 508-2628

Fax

(513) 508-2628

NPI assigned

Apr 20, 2006

Last updated

Dec 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Tracy M. Weeks Other name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Theresa (Tracy) M. Weeks, Psy.D, LLC

  • Clinical Psychologist
  • West Chester, OH
  • NPI 1134514193
  Medicare reassignment NPD Authorized official
• Kelly Grover Counseling LLC

  • Clinical Social Worker
  • Blue Ash, OH
  • NPI 1134840499
  NPD (past)
• Nancy Stella PHD PSYD, LLC

  • Clinical Psychologist
  • Blue Ash, OH
  • NPI 1710381058
  NPD (past)
• Saba a Chughtai LLC

  dba Saba A Chughtai MD & Associates

  • Psychiatry Physician
  • Mason, OH
  • NPI 1598908477

  Clinical

  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1871558866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 CARVER WOODS DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425527",
            "telephone_number": "513-508-2628",
            "fax_number": "513-984-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CARVER WOODS DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425527",
            "telephone_number": "513-508-2628",
            "fax_number": "513-508-2628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7681 Tylers Place Blvd",
            "address_2": "SUITE 2",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450696392",
            "country_code": "US",
            "telephone_number": "513-508-2628",
            "fax_number": "513-779-9209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "THERESA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30607030",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "WEEKS",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "PSY.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• We Are the Future Foundation
• We Care Medical of Ohio (We Care Medical)
• Brian D Weaver, M.D.
• Chantal Weaver
• Elizabeth A Weaver, M.D.
• Gregory John Weisgerber, D.D.S.
• Dustin Weiss, PHARM. D.
• Melinda R Wendling
• Carl Luis West, MSW, LISW, M ARCH
• Ebony Mellionese Wheeler

• Clinical Psychologist in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.