Carl Usher Weitman, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1145 Issued in OH

Practice address

25221 Miles Rd
Suite F
Warrensville Heights, OH 44128-5474

Phone

(216) 586-9319

Fax

(216) 831-8492

NPI assigned

Jul 24, 2006

Sex

Male

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 OH

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

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1669494035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25221 MILES RD",
            "address_2": "SUITE F",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285474",
            "telephone_number": "216-586-9319",
            "fax_number": "216-831-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25221 MILES RD",
            "address_2": "SUITE F",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285474",
            "telephone_number": "216-586-9319",
            "fax_number": "216-831-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITMAN",
        "first_name": "CARL",
        "middle_name": "USHER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "1145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0275625",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Melissa Ann Wendt, P.A.
• Mazelyn Werman
• Julianne Werner, MS,RD,LD,CNSC
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• Clinical Neuropsychologist in Warrensville Heights, OH
• Providers in Warrensville Heights, OH by specialty
• Clinical Neuropsychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.