Individual provider Active NPI

Julia Vlada Weber, PMHNP

  • Psychiatric/Mental Health Registered Nurse
  • Queensbury, NY
National Provider Identifier
1639460447
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
633667 Issued in NY
Practice address
420 Quaker Rd
Queensbury, NY 12804-1535
Phone
(518) 347-9177
Fax
(518) 240-4648
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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 402235 NY
Psychiatric/Mental Health Registered Nurse 163WP0808X 633667 NY Primary

Addresses

Primary practice location

420 Quaker Rd
Queensbury, NY 12804-1535

Mailing address

420 Quaker Rd
Queensbury, NY 12804-1535
Phone (518) 347-9177

Other identifiers 1

IdentifierTypeStateIssuer
000429302001OtherNYBLUE SHIELD OF NORTHEASTERN NY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171213000083 NY Practitioner - Nurse Practitioner 6204194632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians
Warren Washington Association for Mental Health, IncGroup PAC ID 5496751034, 9 clinicians

Practice addresses (Care Compare)

1 W Ave
Suite 300
Saratoga Springs, NY 12866-6050
Phone (518) 693-4699

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8421

3043 State Route 4
Hudson Falls, NY 12839-9632
Phone (518) 747-8243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
633667NYMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Washington Association for Mental Health, Inc CurrentSince May 2, 2024 Accepting new patients
Saratoga Hospital CurrentSince May 1, 2025 Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince May 1, 2025 Accepting new patients

Locations

3043 State Route 4
Hudson Falls, NY 12839
Phone (518) 747-2284

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/10d65d12-0ecf-4613-84df-07c7c4f09ca4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1639460447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 QUAKER RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041535",
            "telephone_number": "518-347-9177",
            "fax_number": "518-240-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 QUAKER RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041535",
            "telephone_number": "518-347-9177",
            "fax_number": "518-240-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JULIA",
        "middle_name": "VLADA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "402235",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "633667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NORTHEASTERN NY",
            "identifier": "000429302001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.