Glenna B Weiss, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6392 Issued in MA

Practice address

50 Adams St
Newton, MA 02460-1461

Phone

(617) 965-4090

Fax

(617) 965-0417

NPI assigned

Jul 10, 2006

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689608044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LEWIS ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581824",
            "telephone_number": "617-965-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ADAMS ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601461",
            "telephone_number": "617-965-4090",
            "fax_number": "617-965-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "GLENNA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna M Weintraub, LICSW
• Henry Holme Weis
• Weiss Physical Therapy
• Angela T Weiss, MSPT
• Anne Weiss
• Martha Deborah Weiss, L.I.C.S.W.
• Martin Bram Weiss, M.D.
• Michael Elliot Weiss, M.D.
• John R. Weisz, PH.D.
• Kathleen Weisz, M.S., CCC-SLP

• Clinical Psychologist in Newton, MA
• Providers in Newton, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.