Individual provider Active NPI

Lonny C Weiss, PSYD

  • Psychologist
  • Palm Beach Gardens, FL
National Provider Identifier
1154319655
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6534 Issued in FL
Practice address
4362 Northlake Blvd
Suite 208
Palm Beach Gardens, FL 33410-6275
Phone
(561) 630-0865
Fax
(561) 630-0866
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY6534 FL
Counseling Psychologist 103TC1900X PY6534 FL
Clinical Child & Adolescent Psychologist 103TC2200X PY6534 FL
Psychologist 103T00000X PY6534 FL Primary

Addresses

Primary practice location

4362 Northlake Blvd
Suite 208
Palm Beach Gardens, FL 33410-6275

Mailing address

4362 Northlake Blvd
Suite 208
Palm Beach Gardens, FL 33410-6275
Phone (561) 630-0865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060822000186 FL Practitioner - Clinical Psychologist 5395758858 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

201 S Biscayne Blvd
Suite 2867
Miami, FL 33131-4330
Phone (786) 269-0333

4362 Northlake Blvd
Suite 208
Palm Beach Gardens, FL 33410-6269
Phone (561) 630-0865

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY6534FLMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Behavioral Health LLC Psychologist CurrentSince May 1, 2025 Accepting new patients
Lonny C Weiss Psy D PA Clinical CurrentSince Mar 1, 2006 Accepting new patients
Sailor Health Medical PA Psychologist CurrentSince Dec 31, 2025 Accepting new patients

Locations

201 S Biscayne Blvd
Ste 2867
Miami, FL 33131
Phone (786) 269-0333

760 US Highway 1
Ste 201
North Palm Beach, FL 33408
Phone (561) 630-0865

4362 Northlake Blvd
Ste 208
Palm Beach Gardens, FL 33410
Phone (561) 630-0865

5406 Hoover Blvd
Ste 18
Tampa, FL 33634
Phone (813) 880-7577

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1154319655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4362 NORTHLAKE BLVD",
            "address_2": "SUITE 208",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106275",
            "telephone_number": "561-630-0865",
            "fax_number": "561-630-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4362 NORTHLAKE BLVD",
            "address_2": "SUITE 208",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106275",
            "telephone_number": "561-630-0865",
            "fax_number": "561-630-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "LONNY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6534",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY6534",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY6534",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.