Bucks Mont Psychotherapy LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS005712L Issued in PA

Legal business name

BUCKS MONT PSYCHOTHERAPY LLC

Practice address

928 Jaymor Rd
Suite a-120
Southampton, PA 18966-3826

Phone

(215) 355-8812

Fax

(215) 322-0926

NPI assigned

Jul 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Craig D. Weiss, PH.D

Title

Owner

Phone

(215) 355-8812

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1164733408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 JAYMOR RD",
            "address_2": "SUITE A-120",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663826",
            "telephone_number": "215-355-8812",
            "fax_number": "215-322-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 JAYMOR RD",
            "address_2": "SUITE A-120",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663826",
            "telephone_number": "215-355-8812",
            "fax_number": "215-322-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKS MONT PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-355-8812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005712L",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005712L",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard A Brody, MD
• Roman Bronfenbrener, MD
• Toni Bronfenbrener, CRNP
• Mitchell Dean Brotsky, DPT
• Bucks County Surgical Services, LLC
• Alan Bui, DDS
• Tia Burroughs Clayton
• Butterwick & Kerner Associates, LLC
• Butterwick Medical P.C.
• Laura A Butterwick, MD

• Psychologist in Southampton, PA
• Providers in Southampton, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.