Jay A Weiss, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

12286R Issued in LA

Practice address

300 Washington St
Ste 208
Monroe, LA 71201-6714

Phone

(318) 322-8482

Fax

(318) 322-5694

NPI assigned

Mar 20, 2006

Last updated

Jan 30, 2012By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2018 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Louisiana Psychiatric Services

  • Psychiatry Physician
  • Monroe, LA
  • NPI 1831315704
  Authorized official Same address or phone
• Palmetto Addiction Recovery Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Rayville, LA
  • NPI 1982794962
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1437118395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON ST",
            "address_2": "STE 208",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016714",
            "telephone_number": "318-322-8482",
            "fax_number": "318-322-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON ST",
            "address_2": "STE 208",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016714",
            "telephone_number": "318-322-8482",
            "fax_number": "318-322-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "JAY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "12286R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1533980",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendon Webb
• Stacy Domingues Webb, MSN-PNP
• Sarah Michelle Weeks, LPN
• Sabrina Wegner, LPC
• Benjamin Barry Weinberger, D. O.
• Brittney Welch
• Dusty D Welch
• Welcoming Warm Hearts Transportation
• Well Womans Center of Louisiana
• Wellnecessities, Inc.

• Psychiatry Physician in Monroe, LA
• Providers in Monroe, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.