Active NPI
Danielle Aimee Weber Wiesen, PSY.D.
- Clinical Child & Adolescent Psychologist
- Scotch Plains, NJ
National Provider Identifier
1013285808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 4656
- Practice address
- 1236 Christine Cir
Scotch Plains, NJ 07076-2629 - Phone
- (917) 886-7889
- NPI assigned
- Dec 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 4656 | NJ | Primary |
Addresses
Primary practice location
1236 Christine Cir
Scotch Plains, NJ 07076-2629
Mailing address
1236 Christine Cir
Scotch Plains, NJ 07076-2629
Phone (917) 886-7889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4656 | NJ | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1013285808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 CHRISTINE CIR",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070762629",
"telephone_number": "917-886-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 CHRISTINE CIR",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070762629",
"telephone_number": "917-886-7889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER WIESEN",
"first_name": "DANIELLE",
"middle_name": "AIMEE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-07",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NJ",
"license": "4656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotch Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.