Individual provider Active NPI

Geri Dawn Weitzman, PHD

  • Counseling Psychologist
  • Palo Alto, CA
National Provider Identifier
1548474901
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY17963 Issued in CA
Practice address
941 E Charleston Rd
Ste 103
Palo Alto, CA 94303-4998
Phone
(408) 338-5638
NPI assigned
May 9, 2007
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY17963 CA Primary

Addresses

Primary practice location

941 E Charleston Rd
Ste 103
Palo Alto, CA 94303-4998

Mailing address

941 E Charleston Rd
Ste 103
Palo Alto, CA 94303-4998
Phone (408) 338-5638

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100203000107 CA Practitioner - Clinical Psychologist 2961545629 Practice locations: Los Altos, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4966 El Camino Real
Suite 119
Los Altos, CA 94022-1406
Phone (408) 338-5638

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17963CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1548474901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 E CHARLESTON RD",
            "address_2": "STE 103",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034998",
            "telephone_number": "408-338-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 E CHARLESTON RD",
            "address_2": "STE 103",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034998",
            "telephone_number": "408-338-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZMAN",
        "first_name": "GERI",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY17963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.