DR. CARROL R WEAVER PH.D.
NPI 1275569022
Psychologist in Oklahoma City, OK

Active since June 23, 2006Opted out of Medicare · through Jan 1, 2028
6307 WATERFORD BLVD, SUITE 145, OKLAHOMA CITY, OK 73118(405) 848-1191(405) 848-1224 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Carrol R Weaver Ph.d. NPPES

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

DR. CARROL R WEAVER PH.D. (NPI 1275569022) is an individual psychologist in Oklahoma City, Oklahoma, licensed in Oklahoma (541) and active in the NPI registry since June 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275569022
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CARROL R WEAVERCredential: PH.D.
Location Address6307 WATERFORD BLVD, SUITE 145Oklahoma City, OK 73118-1125
Mailing Address6307 Waterford Blvd, Suite 145Oklahoma City, OK 73118-1125 · (405) 848-1191 · Fax (405) 848-1224
Fax(405) 848-1224
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1275569022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OK · 541
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
6307 WATERFORD BLVD, Oklahoma City, OK 73118

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Carrol R Weaver Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
6307 WATERFORD BLVD, SUITE 100
OKLAHOMA CITY, OK 73118
Counselor (Professional)
6307 WATERFORD BLVD, STE 127
OKLAHOMA CITY, OK 73118
Counselor (Professional)
6307 WATERFORD BLVD, STE 127
OKLAHOMA CITY, OK 73118

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 Carrol Weaver's NPI number?

The NPI number for Carrol Weaver is 1275569022. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Carrol Weaver located?

Carrol Weaver practices at 6307 Waterford Blvd Suite 145, Oklahoma City, OK 73118. The listed phone number is (405) 848-1191.

What is Carrol Weaver's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Carrol Weaver enrolled in Medicare?

No. Carrol Weaver has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carrol Weaver was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.