Lee David Weiss, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036.044369 Issued in IL

Practice address

7234 West Ogden Avenue
Suite 3N
Riverside, IL 60546-2387

Phone

(708) 447-2277

Fax

(708) 447-2274

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Stillpoint Mental Health Associates, S.C.

  • Psychiatry Physician
  • Hinsdale, IL
  • NPI 1285653303
  NPD (past)
• Stillpoint Mental Health Associates, SC

  • Clinical Social Worker
  • Hinsdale, IL
  • NPI 1760854970
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1659349280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 WARREN AVENUE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153437",
            "telephone_number": "630-719-5454",
            "fax_number": "630-719-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7234 WEST OGDEN AVENUE",
            "address_2": "SUITE 3N",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462387",
            "telephone_number": "708-447-2277",
            "fax_number": "708-447-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "LEE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036044369",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.044369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "211323007",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "211324005",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036044369",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Staci Michelle Vetrovsky, RD, LDN
• VHS of Illinois Inc
• Village of Riverside
• Diane Louise Wallendjack, EDD, NCSP
• Minetta Wallingford, OTR/L
• Sophia E Welykyj, MD
• Westeros Family Practice, LTD
• Carly Williamson, SSP, NCSP
• Valerie Wodzinski, RN, MS
• Peter Yon

• Psychiatry Physician in Riverside, IL
• Providers in Riverside, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.