Andrea R Weisman, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003655 Issued in VA

Practice address

8923 Old Holly Road
Richmond, VA 23235

Phone

(804) 252-0512

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tikvah LLC

  dba Tikvah Collaborative Practices

  • Clinical Psychologist
  • Richmond, VA
  • NPI 1083334791
  Medicare reassignment NPD Authorized official
• Intercept Youth Services, Inc.

  • Foster Care Agency
  • Roanoke, VA
  • NPI 1932334000
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1124102884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 BUFORD RD # 129",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232352423",
            "telephone_number": "804-252-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8923 OLD HOLLY ROAD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-252-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "ANDREA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010314348",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Keith Weingart, O.D.
• Stephan Raab Weinland, PH.D.
• Caitlin Weis, RD
• Nora Giblin Allison Weiser, MSW, LICSW, LCSW
• Victoria Weiser, PHARMD
• Barry Weiss, DDS
• David Todd Weiss, DPM
• Elisabeth Weiss, MD
• Joshua R Weiss, MD
• Sarah Weiss, AUD, CCC-A

• Clinical Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.