Active NPI
Janet Margaret Weiss, PH.D.
- Clinical Psychologist
- Garden City, NY
National Provider Identifier
1053499186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 07880
- Practice address
- 96 Suffolk LN
Garden City, NY 11530-1536 - Phone
- (516) 294-1850
- Fax
- (516) 294-1850
- NPI assigned
- Nov 2, 2006
- Last updated
- Jul 8, 2007
- 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 Psychologist | 103TC0700X | 07880 | NY | Primary |
Addresses
Primary practice location
96 Suffolk LN
Garden City, NY 11530-1536
Mailing address
96 Suffolk LN
Garden City, NY 11530-1536
Phone (516) 294-1850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101208000072 | NY | Practitioner - Clinical Psychologist | 7012104755 | Practice locations: Garden City, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07880 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053499186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 SUFFOLK LN",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115301536",
"telephone_number": "516-294-1850",
"fax_number": "516-294-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 SUFFOLK LN",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115301536",
"telephone_number": "516-294-1850",
"fax_number": "516-294-1850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "JANET",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "07880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.