Individual provider Active NPI

Ellen Marcie Weissman, M.D.

  • Psychiatry Physician
  • Mount Kisco, NY
National Provider Identifier
1487665832
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
216341-1 Issued in NY
Practice address
39 Smith Ave FRNT BLDG
Mount Kisco, NY 10549-2838
Phone
(914) 997-7727
Fax
(914) 222-8885
NPI assigned
Aug 11, 2006
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 216341-1 NY Primary
Psychiatry Physician 2084P0800X 0101048882 VA

Addresses

Primary practice location

39 Smith Ave FRNT BLDG
Mount Kisco, NY 10549-2838

Mailing address

39 Smith Ave FRNT BLDG
Mount Kisco, NY 10549-2838
Phone (914) 997-7727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 30, 2024 through Dec 30, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216341-1NYMDPsychiatry Physician
0101048882VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Psychiatric Prcatice, PC PastSince Sep 1, 2019 Accepting new patients

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, 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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1487665832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SMITH AVE FRNT BLDG",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492838",
            "telephone_number": "914-997-7727",
            "fax_number": "914-222-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SMITH AVE FRNT BLDG",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492838",
            "telephone_number": "914-997-7727",
            "fax_number": "914-222-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSMAN",
        "first_name": "ELLEN",
        "middle_name": "MARCIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "216341-1",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101048882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.