DR. THEODORE JOSEPH WEBER (M.DIV., PSY.D.) – Psychologist, NPI 1316975691

DR. THEODORE JOSEPH WEBER (M.DIV., PSY.D.) is a healthcare provider. based in Ormond beach, Florida. specializing in Psychologist. They hold the professional credentials M.DIV., PSY.D.. They hold a License No. PY6429 (FL). The NPI Number for DR. THEODORE JOSEPH WEBER (M.DIV., PSY.D.) is 1316975691

Main info

Male
Name
DR. THEODORE JOSEPH WEBER (M.DIV., PSY.D.)
NPI
1316975691
Phone
(386) 795-7673
Address
348 CHELSEA PLACE AVE
Enumeration Date
28 June 2006
Last Update Date
22 April 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. THEODORE JOSEPH WEBER (M.DIV., PSY.D.)

  • 348, Chelsea Place Avenue, Ormond Beach, Volusia County, Florida, 32174, United States

    ORMOND BEACH, FL 321740683

    Phone: (386) 795-7673

    Fax: (386) 677-2107

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070117000082IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32174)

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Reviews

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Frequently asked questions

Is there an official ID for DR. THEODORE JOSEPH WEBER (M.DIV., PSY.D.) in U.S. healthcare records?
The official identifier for DR. THEODORE JOSEPH WEBER (M.DIV., PSY.D.) is NPI 1316975691.
Is DR. THEODORE JOSEPH WEBER (M.DIV., PSY.D.) shown as active in public data?
Registry records indicate DR. THEODORE JOSEPH WEBER (M.DIV., PSY.D.) maintains an active NPI.
What expertise is attributed to DR. THEODORE JOSEPH WEBER (M.DIV., PSY.D.)?
DR. THEODORE JOSEPH WEBER (M.DIV., PSY.D.)'s specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. THEODORE JOSEPH WEBER (M.DIV., PSY.D.)?
Travel planning: use Ormond Beach, Florida as the reference point for DR. THEODORE JOSEPH WEBER (M.DIV., PSY.D.), then confirm.
When was this NPI issued?
Enumeration for DR. THEODORE JOSEPH WEBER (M.DIV., PSY.D.) is noted as June 28, 2006 where the registry provides it.

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