Alice Deborah Weisko, PSY D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3333 Issued in MD

Practice address

1107 Kenilworth Dr Ste 320
Towson, MD 21204-2135

Phone

(410) 937-8029

Fax

(410) 550-1610

NPI assigned

Nov 20, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1144401977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 RIDGE AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865432",
            "telephone_number": "410-937-8029",
            "fax_number": "410-550-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 KENILWORTH DR STE 320",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042135",
            "telephone_number": "410-937-8029",
            "fax_number": "410-550-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISKO",
        "first_name": "ALICE",
        "middle_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "3333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER'S HEALTH PROGRAM",
            "identifier": "020198",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Michelle Weingard
• Sherri C Weinman, MPT
• Frederick Gordon Weinstein, M.D.
• David Alan Weinstock, O.D.
• Seth Weinstock, PHARMD
• Richard Morris Weisman, MD
• Dahra Weiss
• Marlena Weiss
• Sara Kate Weiss, CCC-SLP
• Joshua Kyle Welch, PT,DPT

• Psychologist in Towson, MD
• Providers in Towson, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.