Active NPI
David Jay Weiss, PH.D.
- Psychologist
- Auburndale, MA
National Provider Identifier
1497820781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1848
- Practice address
- 89 Staniford St
Suite #7
Auburndale, MA 02466-1128 - Phone
- (617) 821-7393
- Fax
- (617) 630-1849
- NPI assigned
- Nov 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1848 | MA | Primary |
Addresses
Primary practice location
89 Staniford St
Suite #7
Auburndale, MA 02466-1128
Mailing address
89 Staniford St
Suite #7
Auburndale, MA 02466-1128
Phone (617) 821-7393
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497820781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 STANIFORD ST",
"address_2": "SUITE #7",
"city": "AUBURNDALE",
"state": "MA",
"postal_code": "024661128",
"telephone_number": "617-821-7393",
"fax_number": "617-630-1849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 STANIFORD ST",
"address_2": "SUITE #7",
"city": "AUBURNDALE",
"state": "MA",
"postal_code": "024661128",
"telephone_number": "617-821-7393",
"fax_number": "617-630-1849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "DAVID",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "1848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburndale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.