Individual provider Active NPI

Karen T. Weltman, PH.D.

  • Clinical Psychologist
  • Saratoga Springs, NY
National Provider Identifier
1093855959
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
010121 Issued in NY
Practice address
4 Franklin SQ
Saratoga Springs, NY 12866-2141
Phone
(518) 583-0963
Fax
(518) 583-0369
NPI assigned
Feb 7, 2007
Last updated
Nov 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 010121 NY Primary

Addresses

Primary practice location

4 Franklin SQ
Saratoga Springs, NY 12866-2141

Mailing address

4 Franklin SQ
Saratoga Springs, NY 12866-2141
Phone (518) 583-0963

Other identifiers 2

IdentifierTypeStateIssuer
01517995MedicaidNY
41160OtherNYMVP HEALTH PLAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111020000045 NY Practitioner - Clinical Psychologist 3375715196 Practice locations: Saratoga Springs, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Franklin SQ
Saratoga Springs, NY 12866-2184
Phone (518) 583-0963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
010121NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1093855959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FRANKLIN SQ",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662141",
            "telephone_number": "518-583-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FRANKLIN SQ",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662141",
            "telephone_number": "518-583-0963",
            "fax_number": "518-583-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTMAN",
        "first_name": "KAREN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01517995",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLAN",
            "identifier": "41160",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.