BRENT MATTHEW WEBER (NPI# 1114494069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114494069 |
| Entity Type | Individual |
| Full Name | BRENT MATTHEW WEBER |
| Practice Address |
1613 M 139 Benton Harbor MI 49022-5748 |
| Mailing Address |
1485 M 139 Benton Harbor MI 49022-5711 |
| Practice Telephone | 2699259585 |
| Practice Fax Number | 2699271326 |
| Mailing Telephone | 2699250585 |
| Mailing Fax Number | 2699271326 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184248965 | Brent Weber | Counselor | 1540 International Pkwy, Sanford, FL 32771 | 2020-06-08 |
| 1407146657 | Brent M Weber | Emergency Medicine | 1000 Health Center Dr, Mattoon, IL 61938-9261 | 2011-04-08 |
| 1043462302 | Brent Weber | Physical Therapist | 2004 Twin City Dr, Mandan, ND 58554-3820 | 2008-10-17 |
| Street Address |
1613 M 139 |
| City | BENTON HARBOR |
| State | MI |
| Zip Code | 49022-5748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598165581 | Melissa Zimmerman | Social Worker | 1613 M 139, Benton Harbor, MI 49022-5748 | 2014-08-27 |
| 1700487238 | Rose A Ferrell | Psychologist | 1613 M 139, Benton Harbor, MI 49022-5748 | 2020-11-02 |
| 1538790910 | Kristine Elizabeth Gervasi | Counselor | 1613 M 139, Benton Harbor, MI 49022-5748 | 2020-02-04 |
| 1518516921 | Jessica J Brooks | Social Worker | 1613 M 139, Benton Harbor, MI 49022-5748 | 2019-09-09 |
| 1376102632 | Doris Omari | Social Worker | 1613 M 139, Benton Harbor, MI 49022-5748 | 2019-06-11 |
| 1497211247 | Alyssa Marie Shelton | Counselor | 1613 M 139, Benton Harbor, MI 49022-5748 | 2019-02-18 |
| 1407312895 | Heather Ann Sorensen | Social Worker | 1613 M 139, Benton Harbor, MI 49022-5748 | 2019-02-11 |
| 1053881409 | Rebecca Nell Burmeister | Social Worker | 1613 M 139, Benton Harbor, MI 49022-5748 | 2018-11-28 |
| 1194295626 | Dulce Reyes-cooke | Counselor | 1613 M 139, Benton Harbor, MI 49022-5748 | 2018-11-27 |
| 1932695335 | Courtney A. Mackay | Social Worker | 1613 M 139, Benton Harbor, MI 49022-5748 | 2018-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852438 | Heather A Harrison | Pharmacist | 1485 S M139, Benton Harbor, MI 49022 | 2017-10-17 |
| 1013426220 | Valerie Fulton | Chore Provider | 2457 Plaza Dr, Benton Harbor, MI 49022 | 2017-09-20 |
| 1124544101 | Felecia Howell | Social Worker | 1485 M139, Benton Harbor, MI 49022 | 2017-08-21 |
| 1548797848 | Lauren Elise Midkiff | Social Worker | 1485 M-139, Benton Harbor, MI 49022 | 2017-05-17 |
| 1780130419 | Jennifer Hoover | Pharmacist | 1701 M-139, Benton Harbor, MI 49022 | 2016-09-01 |
| 1841646395 | Josefina Pena-ogando | Counselor | 185 E Main St Ste 402, Benton Harbor, MI 49022 | 2016-05-13 |
| 1295116648 | Claudia Olivia Pozo | Counselor | 1458 M 139, Benton Harbor, MI 49022 | 2015-06-11 |
| 1063809515 | Patrick K Hanlin | Counselor | 800 M- 139, Benton Harbor, MI 49022 | 2015-04-22 |
| 1912280835 | Kimberly Anne Hardt | Pharmacist | 875 E.napier, Benton Harbor, MI 49022 | 2011-09-27 |
| 1407150279 | Ldbh, LLC | Clinic/Center | 338 8th Street, Benton Harbor, MI 49022 | 2011-01-07 |
| Find all providers in zip 49022 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013090679 | Deanna Renae Ellis-chopin | Psychologist | 777 East Napier Avenue, Pob 8776, Benton Harbor, MI 49023-8776 | 2006-10-24 |
| 1700487238 | Rose A Ferrell | Psychologist | 1613 M 139, Benton Harbor, MI 49022-5748 | 2020-11-02 |
| 1538682331 | Aditi Satish Joshi | Psychologist | 1613 M 139, Benton Harbor, MI 49022-5748 | 2017-07-24 |
| 1366652984 | Carol Lynn Leggett | Psychologist | 1485 South M-139, Benton Harbor, MI 49022 | 2007-05-23 |
| 1730398041 | Bruce Gary Devries | Psychologist | 1485 South M-139, Benton Harbor, MI 49022 | 2007-05-22 |
| 1174743892 | William Patrick Brady | Psychologist | 1485 South M-139, Benton Harbor, MI 49022 | 2007-04-26 |
| 1841346897 | Curtis Gene Bitman | Psychologist | 100 W Main St, Benton Harbor, MI 49022-3606 | 2007-01-25 |
| 1447309984 | Philip Sutton | Psychologist | 1850 Colfax Ave, Benton Harbor, MI 49022-6753 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1932700036 | Estela M Rivero | Psychologist | 2627 Oak Valley Dr Apt 205, Ann Arbor, MI 48103-7705 | 2020-11-04 |
| 1144829037 | Damon Moore | Psychologist | 15450 E Jefferson Ave Ste 180, Grosse Pointe Park, MI 48230-2031 | 2020-10-21 |
| 1073112355 | Sarah Nicole Kesler | Psychologist | 230 Collingwood St Ste 250, Ann Arbor, MI 48103-3845 | 2020-10-19 |
| 1518564947 | Margaret L Blevins | Psychologist | 21769 Meridian Rd, Grosse Ile, MI 48138-1453 | 2020-10-08 |
| 1770197717 | Susan J Goldberg | Psychologist | 442 Randolph St, Northville, MI 48167-1465 | 2020-09-08 |
| 1255944096 | Eric S. Samson | Psychologist | 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390-3801 | 2020-08-30 |
| 1891308904 | Susan Gottlieb Phd LLC | Psychologist | 23800 Orchard Lake Rd Ste 104, Farmington Hills, MI 48336-2561 | 2020-08-28 |
| 1538784012 | Bethany S Gourley | Psychologist | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-06-10 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
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| City | BENTON HARBOR |
| Zip Code | 49022 |
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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.