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DEBRA A WEAVER PHD LLC
NPI 1184913105
Psychologist - Clinical in Tallahassee, FL

Active since March 30, 2011
2880 CAPITAL MEDICAL BLVD, SUITE 2, TALLAHASSEE, FL 32308(850) 942-5585(850) 222-1194 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Debra A Weaver Phd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA A WEAVER PHD LLC (NPI 1184913105) is a healthcare organization registered as a clinical in Tallahassee, Florida and active in the NPI registry since March 2011. The organization lists Debra A Weaver, President, as its authorized official.

NPPES Registry Identity

NPI1184913105
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDEBRA A WEAVER PHD LLC
Location Address2880 CAPITAL MEDICAL BLVD, SUITE 2Tallahassee, FL 32308-4671
Mailing Address2880 Capital Medical Blvd, Suite 2Tallahassee, FL 32308-4671 · (850) 942-5585 · Fax (850) 222-1194
Phone(850) 942-5585
Fax(850) 222-1194
Organization SubpartNo
Authorized OfficialDebra A WeaverPresident · (850) 942-5585
Enumeration DateMarch 30, 2011
✔ NPI 1184913105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY4836
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2880 CAPITAL MEDICAL BLVD, Tallahassee, FL 32308
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Other Identifiers 1

Other59382FL · Blue Cross/blue Shield Of Florida

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Debra A Weaver Phd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Debra A Weaver Phd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Debra Weaver, PH.D.
Clinical Psychologist
NPI 1285658047
2880 CAPITAL MEDICAL BLVD SUITE 2
Tallahassee, FL 32308
(850) 942-5585
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra A Weaver Phd LLC's NPI number?

The NPI number for Debra A Weaver Phd LLC is 1184913105. It was assigned to this organization in the NPPES registry on March 30, 2011.

Where is Debra A Weaver Phd LLC located?

Debra A Weaver Phd LLC is located at 2880 Capital Medical Blvd Suite 2, Tallahassee, FL 32308. The listed phone number is (850) 942-5585.

What is Debra A Weaver Phd LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Debra A Weaver Phd LLC enrolled in Medicare?

Yes. Debra A Weaver Phd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Debra A Weaver Phd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Debra A Weaver Phd LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Debra A Weaver Phd LLC was last updated on March 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.