Individual provider Active NPI

Marc David Weiss, M.D.

  • Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1467665091
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME101993 Issued in FL
Practice address
2201 NW Corporate Blvd Ste 202
Boca Raton, FL 33431-7337
Phone
(561) 499-6933
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD430578 PA
Psychiatry Physician 2084P0800X ME101993 FL Primary

Addresses

Primary practice location

2201 NW Corporate Blvd Ste 202
Boca Raton, FL 33431-7337

Mailing address

2201 NW Corporate Blvd Ste 202
Boca Raton, FL 33431-7337

Other practice location 1

4720 N State Road 7 Bldg B
Lauderdale Lakes, FL 33319-5860
Phone (954) 486-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091007000636 FL Practitioner - Psychiatry 6800987223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Behavioral Health PLLCGroup PAC ID 1052540135, 3 clinicians

Practice addresses (Care Compare)

2201 NW Corporate Blvd
Suite 202
Boca Raton, FL 33431-7337
Phone (561) 499-6932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME101993FLMDPsychiatry Physician
MD430578PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South County Mental Health Center, Inc. CurrentSince Dec 17, 2014 Accepting new patients
Henderson Behavioral Health, Inc. Psychiatry CurrentSince Apr 14, 2025 Accepting new patients
Mindful Behavioral Health PLLC Psychiatry CurrentSince Mar 1, 2017 Accepting new patients
Henderson Behavioral Health, Inc. PastSince Jul 4, 2021 Accepting new patients
Family Preservation Services Past Accepting new patients

Locations

2201 NW Corporate Blvd
Ste 202
Boca Raton, FL 33431
Phone (561) 499-6932

16158 S Military Trl
Delray Beach, FL 33484
Phone (561) 495-0522

330 SW 27th Ave
Ft Lauderdale, FL 33312
Phone (954) 463-0911

4720 N State Road 7
Bldg B
Lauderdale Lakes, FL 33319
Phone (954) 463-0911

4740 N State Road 7
Ste 201
Lauderdale Lakes, FL 33319
Phone (954) 497-3850

Organizations & group practices 5

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1467665091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 NW CORPORATE BLVD STE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NW CORPORATE BLVD STE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317337",
            "telephone_number": "561-499-6933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4720 N State Road 7 Bldg B",
            "address_purpose": "LOCATION",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "postal_code": "333195860",
            "country_code": "US",
            "telephone_number": "954-486-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "MARC",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD430578",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME101993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.