James Weidel

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

401950 Issued in NY

Practice address

1150 State Route 23
Catskill, NY 12414-5030

Phone

(646) 453-6777

Fax

(844) 867-9062

NPI assigned

Jan 28, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

East Orange Psychiatric Associates LLPGroup PAC ID 5890899819, 8 clinicians

County of GreeneGroup PAC ID 9133038219, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jamesweidel@gcmh.medentdirect.com
• Direct secure messaging: forestdaleinc.jamesweidel@160747.advancedmd-direct.com

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.

• County of Greene

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cairo, NY
  • NPI 1255360046
  Medicare reassignment Care Compare group NPD
• East Orange Psychiatric Associates, LLP

  • Clinical Social Worker
  • Newburgh, NY
  • NPI 1508918590
  Medicare reassignment Care Compare group NPD
• Child & Family Guidance Center Addiction Services Inc

  • Addiction (Substance Use Disorder) Counselor
  • Highland, NY
  • NPI 1134140809
  Medicare reassignment NPD
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amenia, NY
  • NPI 1568526838
  Medicare reassignment NPD
• County of Greene

  • Clinic/Center
  • Catskill, NY
  • NPI 1932281706
  NPD
• Sun River Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Peekskill, NY
  • NPI 1619969458
  NPD

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1073790564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 STATE ROUTE 23",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124145030",
            "telephone_number": "646-453-6777",
            "fax_number": "844-867-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 STATE ROUTE 23",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124145030",
            "telephone_number": "646-453-6777",
            "fax_number": "844-867-9062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Stony Brook Ct Ste 1",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125506522",
            "country_code": "US",
            "telephone_number": "845-565-0600",
            "fax_number": "866-733-1910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDEL",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9263044",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@new-spruce-psych.direct.kno2fy.com",
            "affiliation": "N",
            "endpointDescription": "direct messaging address",
            "address_1": "1150 State Route 23",
            "city": "Catskill",
            "state": "NY",
            "country_code": "US",
            "postal_code": "124145030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walgreen Co
• Donna Walsh, RN
• Emily Warburton, FNP-BC
• Beth E Wasserman Hendlin, D.D.S.
• Susan Carol Weber, R.N.
• Welberllc
• Weston Paxxon PT, OT & SLP, PLLC.
• Mary R White-Schlenker, MS. ED
• Hannah Joy Wise, RDN
• Heather M Zacchio, LMSW

• Psychiatric/Mental Health Nurse Practitioner in Catskill, NY
• Providers in Catskill, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.