Individual provider Active NPI

Liza Weiss, PSY.D.

  • Clinical Psychologist
  • Delray Beach, FL
National Provider Identifier
1467840215
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7190 Issued in FL
Practice address
500 Gulfstream Blvd
Suite 107
Delray Beach, FL 33483-6144
Phone
(561) 455-2300
NPI assigned
Jan 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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 PY7190 FL Primary

Addresses

Primary practice location

500 Gulfstream Blvd
Suite 107
Delray Beach, FL 33483-6144

Mailing address

500 Gulfstream Blvd
Suite 107
Boynton Beach, FL 33483
Phone (561) 455-2300

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051110000052 FL Practitioner - Clinical Psychologist 5890713655 Reassigns benefits to 2 organizations
Practice locations: Boca Raton, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cotler Healthcare and Development IncGroup PAC ID 0143121145, 25 clinicians

Practice addresses (Care Compare)

901 S 62ND Ave
Hollywood, FL 33023-1848
Phone (954) 893-0109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cotler Children and Family Services, LLC Clinical CurrentSince Aug 1, 2017 Accepting new patients
Cotler Healthcare & Development Inc. Clinical CurrentSince Aug 1, 2017 Accepting new patients

Locations

7225 Boca del Mar Dr
Boca Raton, FL 33433
Phone (561) 362-9644

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

8461 Lake Worth Rd
Ste 250
Lake Worth, FL 33467

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1467840215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GULFSTREAM BLVD",
            "address_2": "SUITE 107",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33483",
            "telephone_number": "561-455-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GULFSTREAM BLVD",
            "address_2": "SUITE 107",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836144",
            "telephone_number": "561-455-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "LIZA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.