Jorden Brent Weiss, JORDEN WEISS D.O.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

34006906W Issued in OH

Practice address

5965 E Broad St
Columbus, OH 43213-1562

Phone

(614) 759-5075

Fax

(614) 759-5079

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 3, 2024 through Jul 3, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Amigo Family Counseling LLC

  • Mental Health Counselor
  • Columbus, OH
  • NPI 1316973431
  NPD (past)
• Ohio State University

  • Clinical Psychologist
  • Columbus, OH
  • NPI 1972561892
  NPD (past)
• Pinnacle Behavioral Health LLC

  • Psychiatry Physician
  • Columbus, OH
  • NPI 1609886506
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104938372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 E. BROAD STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "614-759-5075",
            "fax_number": "614-759-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131562",
            "telephone_number": "614-759-5075",
            "fax_number": "614-759-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "JORDEN",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "JORDEN WEISS D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "34006906W",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Weiss
• Brian David Weiss, MD
• David M Weiss, PHD
• Frances Weiss
• Heather Weiss, RN
• Lydia Weiss, DC
• Michael L Weiss, MD
• Shawn Weiss, DPT
• Kaleigh Weithman, OTR/L
• Logan Weithman

• Child & Adolescent Psychiatry Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Child & Adolescent Psychiatry Physician in Ohio

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.