Active NPI
Jessica Andrews Weis, PSY.D.
- Psychologist
- Driggs, ID
National Provider Identifier
1285068023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-203328
- Practice address
- 1420 N Highway 33 Ste 103
Driggs, ID 83422-5313 - Phone
- (208) 497-2260
- Fax
- (208) 281-4134
- NPI assigned
- Aug 28, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2768 | OR | |
| Psychologist | 103T00000X | 662 | WY | |
| Psychologist | 103T00000X | 60721870 | WA | |
| Psychologist | 103T00000X | PSY-203328 | ID | Primary |
Addresses
Primary practice location
1420 N Highway 33 Ste 103
Driggs, ID 83422-5313
Mailing address
1420 N Highway 33 Ste 103
Driggs, ID 83422-5313
Phone (650) 380-6265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-203328 | ID | MD | Psychologist |
| 60721870 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1285068023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 N HIGHWAY 33 STE 103",
"city": "DRIGGS",
"state": "ID",
"postal_code": "834225313",
"telephone_number": "650-380-6265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 N HIGHWAY 33 STE 103",
"city": "DRIGGS",
"state": "ID",
"postal_code": "834225313",
"telephone_number": "208-497-2260",
"fax_number": "208-281-4134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIS",
"first_name": "JESSICA",
"middle_name": "ANDREWS",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-28",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "2768",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WY",
"license": "662",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "60721870",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ID",
"license": "PSY-203328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Driggs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.