Individual provider Active NPI

Paul I Weiss, M.D.

  • Psychiatry Physician
  • Taunton, MA
National Provider Identifier
1205989555
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
203650 Issued in MA
Practice address
One Washington Strret
Community Counseling of Bristol County
Taunton, MA 02780
Phone
(508) 828-9116
Fax
(508) 828-9146
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD022360E PA
Psychiatry Physician 2084P0800X 203650 MA Primary

Addresses

Primary practice location

One Washington Strret
Community Counseling of Bristol County
Taunton, MA 02780

Mailing address

One Washington Strret
Community Counseling of Bristol County
Taunton, MA 02780
Phone (508) 828-9116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000112 MA Practitioner - Psychiatry 9739168873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Temple University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Counseling of Bristol County, Inc.Group PAC ID 0143127779, 52 clinicians

Practice addresses (Care Compare)

1 Washington St
Taunton, MA 02780-3960

1 Washington St
Taunton, MA 02780-5293
Phone (508) 977-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD022360EPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling of Bristol County, Inc. CurrentSince Jun 1, 2011 Accepting new patients
Community Counseling of Bristol County Inc CurrentSince Jun 1, 2011 Accepting new patients

Locations

1 Washington St
Taunton, MA 02780
Phone (508) 828-9116

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1205989555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE WASHINGTON STRRET",
            "address_2": "COMMUNITY COUNSELING OF BRISTOL COUNTY",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "02780",
            "telephone_number": "508-828-9116",
            "fax_number": "508-828-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE WASHINGTON STRRET",
            "address_2": "COMMUNITY COUNSELING OF BRISTOL COUNTY",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "02780",
            "telephone_number": "508-828-9116",
            "fax_number": "508-828-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "PAUL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD022360E",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "203650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.