Active NPI
Jeanette Weiss, M.A., M.ED.
- Psychologist
- Elkins Park, PA
National Provider Identifier
1417316944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS006492L
- Practice address
- 607 Oak Shade Ave
Elkins Park, PA 19027-1713 - Phone
- (267) 496-3885
- NPI assigned
- Feb 11, 2016
- 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 | PS006492L | PA | Primary |
Addresses
Primary practice location
607 Oak Shade Ave
Elkins Park, PA 19027-1713
Mailing address
607 Oak Shade Ave
Elkins Park, PA 19027-1713
Phone (267) 496-3885
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)
- Enrolled
- Credentials
- Master of Arts, Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS006492L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1417316944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 OAK SHADE AVE",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271713",
"telephone_number": "267-496-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 OAK SHADE AVE",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271713",
"telephone_number": "267-496-3885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "JEANETTE",
"credential": "M.A., M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-11",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS006492L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.