Dr. Weissman Psychology, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR. WEISSMAN PSYCHOLOGY, INC

Practice address

5706 Corsa Ave Ste 200I
Westlake Village, CA 91362-4057

Phone

(818) 336-1041

NPI assigned

Mar 8, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ellen Weissman, PSYDNPI 1811013881

Title

Psychologist

Phone

(818) 336-1041

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Khamistos Weissman, PSY.D.

  • Psychologist
  • Westlake Village, CA
  • NPI 1811013881

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official
• Dustin Raymond Weissman

  • Mental Health Counselor
  • Calabasas, CA
  • NPI 1801181821
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1023765120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 CORSA AVE STE 200I",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624057",
            "telephone_number": "818-336-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 CORSA AVE STE 200I",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624057",
            "telephone_number": "818-336-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WEISSMAN PSYCHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-336-1041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brittany Duddy, LMFT
• Dana Michelle Dukes

• Clinical Psychologist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.