Individual provider Active NPI

Rebecca M Weksner, PSYD, LP, LEP, NCSP

  • Clinical Psychologist
  • Wellesley, MA
National Provider Identifier
1447496088
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8960 Issued in MA
Practice address
230 Worcester St
BH Department
Wellesley, MA 02481-5420
Phone
(781) 431-5271
NPI assigned
Jan 4, 2009
Last updated
Jun 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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 8960 MA Primary

Addresses

Primary practice location

230 Worcester St
BH Department
Wellesley, MA 02481-5420

Mailing address

230 Worcester St
BH Department
Wellesley, MA 02481-5420
Phone (781) 431-5271

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

State licenses

LicenseStateTypeSpecialty
8960MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Weksner Psychotherapy, LLC Clinical Current Accepting new patients
M. Gorman Psychological Associates Inc PastSince Aug 20, 2014 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1231027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1447496088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WORCESTER ST",
            "address_2": "BH DEPARTMENT",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815420",
            "telephone_number": "781-431-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 WORCESTER ST",
            "address_2": "BH DEPARTMENT",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815420",
            "telephone_number": "781-431-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEKSNER",
        "first_name": "REBECCA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP, LEP, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-04",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.