NPIMap

Organization Active NPI

Viera Psychological Services PA

  • Clinical Psychologist
  • Indialantic, FL
National Provider Identifier
1306928973
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7276 Issued in FL
Legal business name
VIERA PSYCHOLOGICAL SERVICES PA
Practice address
345 6TH Ave
Indialantic, FL 32903-4301
Phone
(321) 951-2100
Fax
(321) 951-1204
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Dr. Jason Wieseler, PSY.D.
Title
Owner
Phone
(321) 704-1135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY7276 FL Primary

Addresses

Primary practice location

345 6TH Ave
Indialantic, FL 32903-4301

Mailing address

345 6TH Ave
Indialantic, FL 32903-4301
Phone (321) 951-2100

National Provider Directory

National Provider Directory

Locations

345 6th Ave
Indialantic, FL 32903
Phone (321) 951-2100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1306928973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 6TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034301",
            "telephone_number": "321-951-2100",
            "fax_number": "321-951-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 6TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034301",
            "telephone_number": "321-951-2100",
            "fax_number": "321-951-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIERA PSYCHOLOGICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "WIESELER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-704-1135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.