Active NPI
Arthur Becker-Weidman, PH.D.
- Clinical Social Worker
- Williamsville, NY
National Provider Identifier
1487647178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 054696-R
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000525107001 | Other | NY | BLUECROSS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11832 | MD | MD | Social Worker |
| 105983 | MA | MD | Clinical Social Worker |
| 054696-R | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zali Psychology PC | Current | 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.
-
- Clinical Psychologist
- Williamsville, NY
- NPI 1467991299
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.