Individual provider Active NPI

Randi Lynn Weitz, PSY.D.

  • Psychologist
  • Pompano Beach, FL
National Provider Identifier
1295984656
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7788 Issued in FL
Practice address
50 E Sample Rd
Suite 200
Pompano Beach, FL 33064-3552
Phone
(954) 942-3991
Fax
(954) 941-4594
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY7788 FL Primary

Addresses

Primary practice location

50 E Sample Rd
Suite 200
Pompano Beach, FL 33064-3552

Mailing address

150 E Sample Rd
Suite 330
Pompano Beach, FL 33064-3550
Phone (954) 784-0335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080927000171 FL Practitioner - Clinical Psychologist 1658448964 Reassigns benefits to 1 organization
Practice locations: Coral Springs, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9900 W Sample Rd
Suite 338
Coral Springs, FL 33065-4048
Phone (954) 543-1913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Health Institute Inc CurrentSince Apr 1, 2017 Accepting new patients
Beth Hershkowitz Hall, PH.D., P.a. Past Accepting new patients
Kerrianne Bresnan, Psy.D., LLC PastSince Nov 8, 2020 Accepting new patients

Locations

3471 N Federal Hwy
Ste 508
Ft Lauderdale, FL 33306
Phone (954) 321-1980

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1295984656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E SAMPLE RD",
            "address_2": "SUITE 330",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643550",
            "telephone_number": "954-784-0335",
            "fax_number": "954-784-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E SAMPLE RD",
            "address_2": "SUITE 200",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643552",
            "telephone_number": "954-942-3991",
            "fax_number": "954-941-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZ",
        "first_name": "RANDI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.