Active NPI
Danielle A Weiss
- Psychologist
- Boston, MA
National Provider Identifier
1215186572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 9810
- Practice address
- 166 W Canton St
Boston, MA 02118-1216 - Phone
- (617) 548-8557
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 9810 | MA | Primary |
Addresses
Primary practice location
166 W Canton St
Boston, MA 02118-1216
Mailing address
166 W Canton St
Boston, MA 02118-1216
Phone (617) 548-8557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9810 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1215186572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 W CANTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181216",
"telephone_number": "617-548-8557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 W CANTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181216",
"telephone_number": "617-548-8557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "DANIELLE",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MA",
"license": "9810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.