Healthcare Provider Details

I. General information

NPI: 1730053075
Provider Name (Legal Business Name): CODY DEVYN WEEKS PH.D., LP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 W 190TH ST STE 280
GARDENA CA
90248-4305
US

IV. Provider business mailing address

6268 CASTLEGATE DR W APT 13205
CASTLE ROCK CO
80108-8678
US

V. Phone/Fax

Practice location:
  • Phone: 877-515-8113
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY.0006851
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: