Penny Harriet Weiser, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 16796 Issued in CA

Practice address

815 3Rd Ave
Suite 107
Chula Vista, CA 91911-1307

Phone

(619) 615-9982

Fax

(619) 426-1906

NPI assigned

Apr 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518180330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86489",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921386489",
            "telephone_number": "619-615-9982",
            "fax_number": "619-426-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 3RD AVE",
            "address_2": "SUITE 107",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111307",
            "telephone_number": "619-615-9982",
            "fax_number": "619-426-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISER",
        "first_name": "PENNY",
        "middle_name": "HARRIET",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 16796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY167961",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Nicole Weeks, RN
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• Robert Alan Weinzimer, D.C., Q.M.E.
• Eric Weiss, LMFT
• Libe Weiss, PH.D.
• Roberto Weiss, MA MFT
• Alexandria Marie Welch
• Cheryl Marie Welch, FNP

• Clinical Psychologist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Clinical Psychologist in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.