JACQUELINE R WEAVER (NPI# 1588008510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588008510 |
| Entity Type | Individual |
| Full Name | JACQUELINE R WEAVER |
| Credential | PSY.D. |
| Practice Address |
2200 Kernan Dr Ofc 1219 Baltimore MD 21207-6665 |
| Practice Telephone | 4104482500 |
| Practice Fax Number | 4104486791 |
| Mailing Telephone | 4104482500 |
| Mailing Fax Number | 4104486917 |
| Enumeration Date | 2013-04-21 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 05792 | MD | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
05792 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | HOSPITAL | 1841337805 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097702 | Jacqueline Christine Weaver | Chiropractor | 4526 Buffalo Gap Rd, Abilene, TX 79606-2704 | 2009-03-16 |
| 1508347196 | Jacqueline S Weaver | Physical Therapy Assistant | 149 Klattenhoff Ln, Hutto, TX 78634-4638 | 2018-08-22 |
| 1336560879 | Jacqueline Weaver | Nurse Practitioner | 555 N Duke St, Lancaster, PA 17602-2250 | 2013-12-31 |
| 1538417167 | Jacqueline La Barbera Weaver | Registered Nurse | 4600 Broadway, Sacramento, CA 95820-1527 | 2012-08-29 |
| 1669720637 | Jacqueline Kimbell Weaver | Pharmacist | 1208 Homer Rd, Minden, LA 71055-3082 | 2012-08-26 |
| 1154510485 | Jacqueline Weaver | Case Manager/Care Coordinator | 210 Manor St, Marion, AR 72364-1936 | 2007-10-23 |
| 1902946890 | Jacqueline Weaver | Emergency Medicine | 2215 Burdett Ave, Troy, NY 12180-2466 | 2007-02-08 |
| Street Address |
2200 KERNAN DR OFC 1219 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21207-6665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613373 | Keys Development Ta | Case Management | 7501 Liberty Rd Ste F/g, Keys Development Ta LLC., Gwynn Oak, MD 21207 | 2020-06-10 |
| 1891328431 | Day-by-day Healthcare LLC | Home Health Aide | 6817 Fox Meadow Rd, Gwynnoak, Baltimore, MD 21207 | 2020-02-21 |
| 1366005944 | Lacey Murphy | Social Worker | 6201 Liberty Road, Baltimore, MD 21207 | 2019-04-18 |
| 1811453368 | Pamela Powell | Social Worker | 5025 Dickey Hill Rd, Baltimore, MD 21207 | 2019-02-20 |
| 1568932176 | Reflections Counseling & Consulting | Community/Behavioral Health | 6901 Brightway, Unit F, Gwynn Oak, MD 21207 | 2018-11-27 |
| 1255849394 | Therapetic Wellness Services | Community/Behavioral Health | 4909 Liberty Heights Ave, Baltimore, MD 21207 | 2018-01-10 |
| 1922525252 | Passionate Hands Transitional Housing | Clinic/Center | 4711 Liberty Heights Avenue, Baltimore, MD 21207 | 2017-08-28 |
| 1528427689 | Stephen James Allen | Occupational Therapy Assistant | 4107 Liberty Heights Ave, Baltimore, MARYLAND 21207 | 2016-02-17 |
| 1255720439 | Dawn James | Counselor | 6401 Dogwood Road, Suite 201, Gwynn Oak, MD 21207 | 2015-01-12 |
| 1407251168 | Allcare International, Inc | Day Training, Developmentally Disabled Services | 3402 Milford Ave, Baltimore, MD 21207 | 2014-10-23 |
| Find all providers in zip 21207 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333107 | Keenan Alexander Walker | Clinical Neuropsychologist | Phipps, Room 446, 600 North Wolfe Street, Baltimore, MD 21287 | 2017-05-18 |
| 1275875221 | Matthew Lawrence Cohen | Clinical Neuropsychologist | Meyer 218 The Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-0005 | 2013-03-17 |
| 1972898062 | Joseph Jason Van Steenburgh | Clinical Neuropsychologist | 1629 Thames St Ste 350, Division of Cognitive Neurology, Baltimore, MD 21231-3440 | 2011-06-16 |
| 1346554011 | Lindsey Elizabeth Kirsch-darrow | Clinical Neuropsychologist | Physical Medicine and Rehab 600 North Wolfe St, Phipps 174, Baltimore, MD 21287-0001 | 2010-08-04 |
| 1366699076 | Sally Long | Clinical Neuropsychologist | 600 N. Wolfe St, Meyer 218, Baltimore, MD 21287-7218 | 2008-08-25 |
| 1326236571 | Brenda Hanna-pladdy | Clinical Neuropsychologist | 110 S Paca Street 3rd Floor, University of Maryland School of Medicine, Baltimore, MD 21201 | 2007-10-11 |
| 1972116200 | Kalina Eneva Hurley | Clinical Neuropsychologist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-08-26 |
| 1396356077 | Jessica Cinda Dalrymple | Clinical Neuropsychologist | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-08-14 |
| 1457960650 | Marilyn Albert | Clinical Neuropsychologist | 1620 Mcelderry St, Baltimore, MD 21205-1911 | 2020-07-24 |
| 1861015802 | Linda Diana Ruiz | Clinical Neuropsychologist | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-05-26 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.