Kenneth Weissblum, PHD

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

000031 Issued in NY

Practice address

80 5TH Ave Suite 1004, RM #6
New York, NY 10011-8018

Phone

(917) 579-1943

NPI assigned

Apr 24, 2007

Last updated

Sep 11, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1679792444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 71ST ST APT 5H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215277",
            "telephone_number": "917-579-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 5TH AVE SUITE 1004, RM #6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118018",
            "telephone_number": "917-579-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSBLUM",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaacov Weiss
• Yehudis Belle Weiss, RPA-C
• Sam Leo Weissbard, D.D.S.
• Sari Melissa Weissbard, PT
• Jamie Weissberg
• Joseph Howard Weissbrot, MD
• Erica Devon Weisselberg, PT, DPT, ATC
• M. Weissfelner
• Helena Weisskopf, RN
• Olivia Tess Weisskopf

• Psychoanalyst in New York, NY
• Providers in New York, NY by specialty
• Psychoanalyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.