Individual provider Active NPI

Jennifer Gueguen Weber, PSYD

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1427401124
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
021723 Issued in NY
Practice address
3512 Quentin Rd
Suite 110
Brooklyn, NY 11234-4244
Phone
(800) 275-3243
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 021723 NY Primary

Addresses

Primary practice location

3512 Quentin Rd
Suite 110
Brooklyn, NY 11234-4244

Mailing address

3512 Quentin Rd
Suite 110
Brooklyn, NY 11234-4244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160912001544 NY Practitioner - Clinical Psychologist 2769778174 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Hospital CurrentSince Aug 23, 2017 Accepting new patients
Jamaica Hospital CurrentSince Aug 23, 2017 Accepting new patients
PM Pediatric Care - New York, P.C. CurrentSince Dec 21, 2022 Accepting new patients
HDC Care Solutions, LLC PastSince Dec 21, 2022 Accepting new patients

Locations

9009 Van Wyck Expy
Fl 2
Jamaica, NY 11435

9009 Van Wyck Expy
Jamaica, NY 11435
Phone (718) 206-5575

1457 Northern Blvd
Manhasset, NY 11030
Phone (516) 520-5437

1 Hollow Ln
Ste 301
New Hyde Park, NY 11042
Phone (516) 207-7851

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Organizations & group practices 4

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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1427401124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 QUENTIN RD",
            "address_2": "SUITE 110",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 QUENTIN RD",
            "address_2": "SUITE 110",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344244",
            "telephone_number": "800-275-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JENNIFER",
        "middle_name": "GUEGUEN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.