Active NPI
Lonny C Weiss, PSYD
- Psychologist
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY6534
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY6534 | FL | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ace Behavioral Health LLC | Psychologist | Current | Accepting new patients |
| Lonny C Weiss Psy D PA | Clinical | Current | Accepting new patients |
| Sailor Health Medical PA | Psychologist | Current | 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.
-
- Clinical Psychologist
- Palm Beach Gardens, FL
- NPI 1962443754
-
- Psychologist
- Coral Gables, FL
- NPI 1841012960
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.