Jules Cary Weiss, EDD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

25323 Issued in TX

Practice address

1002 Texas Blvd
Suite 201
Texarkana, TX 75501-5107

Phone

(903) 838-3322

Fax

(903) 838-9034

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Yvonne Fellers Inc

  • Clinical Social Worker
  • Texarkana, TX
  • NPI 1083689285
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1326044801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6447",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755056447",
            "telephone_number": "903-838-3322",
            "fax_number": "903-838-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 TEXAS BLVD",
            "address_2": "SUITE 201",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015107",
            "telephone_number": "903-838-3322",
            "fax_number": "903-838-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "JULES",
        "middle_name": "CARY",
        "name_prefix": "Mr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036038001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas R Watson, M.D.
• Alexandra Rose Webb
• David R Weber, M.D.
• Harold Gordon Weems Jr., MD
• Richard L Weiner, M.D.
• Maranda Wells, APRN, FNP-C
• Stacy Wells, CRNA
• Kenneth W West, MD
• Sharon Alexis West, FNP-C
• Brandon White

• Clinical Psychologist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.