Andrew P Weitzman, PYSD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2226 Issued in OR

Practice address

435 N Water St Ste a
Silverton, OR 97381-1645

Phone

(971) 444-0865

NPI assigned

Dec 11, 2006

Last updated

Feb 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1063572790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1781",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973810385",
            "telephone_number": "971-444-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N WATER ST STE A",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811645",
            "telephone_number": "971-444-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZMAN",
        "first_name": "ANDREW",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PYSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew@silvertontherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "435 N Water St Ste A",
            "city": "Silverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973811645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Psychologist in Silverton, OR
• Providers in Silverton, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.