Brock Brandon Weedman, PSY D
NPI 1558346502ActiveIndividual· Psychologist· Bellevue, WA
Psychologist (PSY D) in Bellevue, Washington, licensed in WA, with an NPI issued in December 2005. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1558346502 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY D |
| Sole proprietor | No |
| NPI issued | Dec 13, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PY00003318 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WA) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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