Active NPI
Abigail Weissman, PSY.D.
- Clinical Psychologist
- Poway, CA
National Provider Identifier
1609109503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 27497
- Practice address
- 15525 Pomerado Rd
Suite C5
Poway, CA 92064-2435 - Phone
- (619) 403-5578
- Fax
- (866) 273-9073
- NPI assigned
- Sep 9, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 27497 | CA | Primary |
Addresses
Primary practice location
15525 Pomerado Rd
Suite C5
Poway, CA 92064-2435
Mailing address
15525 Pomerado Rd
Suite C5
Poway, CA 92064-2435
Phone (619) 403-5578
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 27497 | CA | MD | Clinical Psychologist |
| 27497 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1609109503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15525 POMERADO RD",
"address_2": "SUITE C5",
"city": "POWAY",
"state": "CA",
"postal_code": "920642435",
"telephone_number": "619-403-5578",
"fax_number": "866-273-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15525 POMERADO RD",
"address_2": "SUITE C5",
"city": "POWAY",
"state": "CA",
"postal_code": "920642435",
"telephone_number": "619-403-5578",
"fax_number": "866-273-9073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISSMAN",
"first_name": "ABIGAIL",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-09",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 27497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.