Abby Weiss

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

26257 Issued in CA

Practice address

3319 Herman Ave Apt 5
San Diego, CA 92104-4664

Phone

(847) 757-6897

NPI assigned

Oct 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Little Mango Speech Therapy, Inc.

  • Speech-Language Pathologist
  • San Diego, CA
  • NPI 1609495142
  NPD Authorized official

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1174074249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 HERMAN AVE APT 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921044664",
            "telephone_number": "847-757-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 HERMAN AVE APT 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921044664",
            "telephone_number": "847-757-6897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7840 Mission Center Ct",
            "address_2": "200",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921081319",
            "country_code": "US",
            "telephone_number": "619-692-0622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "ABBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "26257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Anthony Weisenseel Jr., DDS
• Jeffrey William Weiser, M.D.
• Robert A. Weisgrau, MD
• Melissa Rose Weisman, BSN, RN
• Robert Alan Weisman, M.D.
• Amrie Weiss, RD
• Caroline Jean Weiss, MD
• Conrad Thomas Weiss, MD
• Dina Christine Weiss
• Donald H Weiss, MD

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.