Individual provider Active NPI

Arthur Becker-Weidman, PH.D.

  • Clinical Social Worker
  • Williamsville, NY
National Provider Identifier
1487647178
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
054696-R Issued in NY
Practice address
5820 Main St
Suite 406
Williamsville, NY 14221-5776
Phone
(716) 810-0790
Fax
(716) 636-6243
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11832 MD
Clinical Social Worker 1041C0700X 105983 MA
Clinical Social Worker 1041C0700X 054696-R NY Primary

Addresses

Primary practice location

5820 Main St
Suite 406
Williamsville, NY 14221-5776

Mailing address

6 Emerald TRL
Williamsville, NY 14221-8305
Phone (716) 810-0790

Other identifiers 1

IdentifierTypeStateIssuer
000525107001OtherNYBLUECROSS PROVIDER NUMBER

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
11832MDMDSocial Worker
105983MAMDClinical Social Worker
054696-RNYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Zali Psychology PC CurrentSince Jan 28, 2022 Accepting new patients

Locations

5820 Main St
Ste 406
Williamsville, NY 14221
Phone (716) 202-2210

Organizations & group practices 1

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1487647178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EMERALD TRL",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218305",
            "telephone_number": "716-810-0790",
            "fax_number": "716-636-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 MAIN ST",
            "address_2": "SUITE 406",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215776",
            "telephone_number": "716-810-0790",
            "fax_number": "716-636-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER-WEIDMAN",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11832",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105983",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "054696-R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS PROVIDER NUMBER",
            "identifier": "000525107001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.