Individual provider Active NPI

David Schor Weisman, DOCTORATE

  • Psychologist
  • Gainesville, VA
National Provider Identifier
1013038736
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01426 Issued in MD
Practice address
13504 Cavaletti CT
Gainesville, VA 20155-6691
Phone
(703) 727-1477
Fax
(301) 977-8287
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 01426 MD Primary

Addresses

Primary practice location

13504 Cavaletti CT
Gainesville, VA 20155-6691

Mailing address

13504 Cavaletti CT
Gainesville, VA 20155-6691
Phone (703) 727-1477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130611000111 DC Practitioner - Clinical Psychologist 7911184551 Practice locations: Gaithersburg, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16220 Frederick Rd
Suite 512
Gaithersburg, MD 20877-4022
Phone (301) 276-1137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01426MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
David S. Irwin, M.D.,P.a. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1013038736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13504 CAVALETTI CT",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201556691",
            "telephone_number": "703-727-1477",
            "fax_number": "301-977-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13504 CAVALETTI CT",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201556691",
            "telephone_number": "703-727-1477",
            "fax_number": "301-977-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "DAVID",
        "middle_name": "SCHOR",
        "name_prefix": "Dr.",
        "credential": "DOCTORATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "01426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.