MRS. AMY M WEAVER (NPI# 1831700509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831700509 |
Entity Type | Individual |
Full Name | MRS. AMY M WEAVER |
Credential | SCHOOL PSYCHOLOGIST |
Practice Address |
409 E Park St Benton IL 62812-1920 |
Mailing Address |
501 N Mcleansboro St Benton IL 62812-2726 |
Practice Telephone | 6184397231 |
Mailing Telephone | 6182182104 |
Enumeration Date | 2020-08-14 |
Last Update Date | 2020-08-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
1796140 | IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982265401 | Amy B Weaver | Marriage & Family Therapist | 500 W Wilson Bridge Rd Ste 240, Worthington, OH 43085-2238 | 2019-06-25 |
1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
1639578776 | Amy Weaver | Social Worker | 4111 Tennyson Rd, University Park, MD 20782-2159 | 2014-08-14 |
1376623058 | Amy Stanley Weaver | Physical Therapist | 3045 Scottcrest Way, Waxhaw, NC 28173-7461 | 2006-10-16 |
1689766057 | Amy Carol Weaver | Nurse Practitioner | 810 Church, Greeneville, TN 37745 | 2006-09-29 |
1912409442 | Amy Weaver | Speech-Language Pathologist | 11901 Business Blvd Ste 209, Eagle River, AK 99577-7701 | 2018-02-28 |
1972914802 | Amy Beth Weaver | Occupational Therapy Assistant | 1000 Claremont Rd, Carlisle, PA 17013-7310 | 2014-05-13 |
1649605569 | Amy Weaver | Pharmacist | 2258 Addison Ave E, Twin Falls, ID 83301-6753 | 2013-09-10 |
1538452248 | Amy Weaver | Occupational Therapist | 1060 Gaffney Rd # 7440, Fort Wainwright, AK 99703 | 2011-05-27 |
1073773685 | Amy M. Weaver | Nurse Anesthetist, Certified Registered | 800 N Fant St, Anderson, SC 29621-5708 | 2008-06-17 |
Street Address |
409 E PARK ST |
City | BENTON |
State | IL |
Zip Code | 62812-1920 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255859351 | Brittania Marie Webb | Speech-Language Pathologist | 409 E Park St, Benton, IL 62812-1920 | 2017-09-08 |
1922618362 | Kelly Lynn Dill | Psychologist | 409 E Park St, Benton, IL 62812-1920 | 2020-07-31 |
1619518081 | Alexys Hayes | Speech-Language Pathologist | 409 E Park St, Benton, IL 62812-1920 | 2019-10-07 |
1740709195 | Chelsea Steele | Speech-Language Pathologist | 409 E Park St, Benton, IL 62812-1920 | 2017-09-18 |
1326567371 | Tamara Lane Willmore | Speech-Language Pathologist | 409 E Park St, Benton, IL 62812-1920 | 2017-09-11 |
1447779558 | Sheila Murphy Foster | Speech-Language Pathologist | 409 E Park St, Benton, IL 62812-1920 | 2017-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
1982955712 | National Healthcare of Mt Vernon Inc | Clinic/Center | 905 W Washington St Ste A, Benton, IL 62812 | 2012-09-19 |
1255647129 | Centerstone of Illinois, Inc | Counselor | 409 South George Street, Benton, IL 62812 | 2010-08-30 |
1215184635 | Darla Joe Allan | Emergency Medicine | 501 Du Quoin St, Benton, IL 62812 | 2008-08-27 |
1770752362 | Rlh Anesthesia Service PC | Nurse Anesthetist, Certified Registered | 86 Skiers Run, Benton, IL 62812 | 2008-02-27 |
1508070764 | Kevin B Delatour | Dentist | 808 North Main, Benton, IL 62812 | 2007-05-09 |
1801014782 | Maureen Tinsley | Occupational Therapist | 9 Rend Lake Plaza, Benton, IL 62812 | 2007-04-23 |
1154485316 | Carmen J House | Chiropractor | 106 West Washington Street, Benton, IL 62812 | 2006-12-21 |
1548240211 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | Rea Clinic Benton, 201 Bailey Lane, Benton, IL 62812 | 2006-01-19 |
1477531192 | David Frank Szoke | Emergency Medicine | 905 West Washington, Benton, IL 62812 | 2006-01-03 |
Find all providers in zip 62812 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679428 | Jessica Scharf | Psychologist | 8502 Bailey Rd # 63, Darien, IL 60561-5333 | 2020-11-06 |
1225637283 | Nicole Maggard | Psychologist | 137 Somerset Rd, Willowbrook, IL 60527-5470 | 2020-10-21 |
1033724232 | Shadequia Davis | Psychologist | 402 Richards St, Joliet, IL 60433-2218 | 2020-09-14 |
1043823123 | Lindsay Ann Franklin | Psychologist | 436 Coral Dr, Morton, IL 61550-8505 | 2020-08-28 |
1053923995 | Annie Biehl | Psychologist | 9750 Soreng Ave, Schiller Park, IL 60176-2105 | 2020-08-21 |
1811508989 | Caroline Cook | Psychologist | 246 S Fair Ave, Elmhurst, IL 60126-3600 | 2020-08-12 |
1760009955 | Tammy Carroll | Psychologist | 3801 Lake Ct, Trenton, IL 62293-2938 | 2020-07-03 |
1316568629 | Denisa Kerekes | Psychologist | 1536 Cedarwood Ct, Gurnee, IL 60031-6346 | 2020-04-28 |
1740801174 | Jessica Berlinghof | Psychologist | 220 Greenwood Dr, Round Lake Park, IL 60073-3444 | 2020-04-27 |
1861038200 | Ease of Mind Pllc | Psychologist | 10526 West Cermak Road, Suite 308aa, Westchester, IL 60154 | 2019-11-20 |
Find all providers with the same taxonomy |
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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.