Individual provider Active NPI

Michael S Weissman, PH.D.

  • Clinical Psychologist
  • Chesapeake, VA
National Provider Identifier
1699743203
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810-000761 Issued in VA
Practice address
3210 Churchland Blvd
Suite 4
Chesapeake, VA 23321-5253
Phone
(757) 483-3404
Fax
(757) 483-0461
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810-000761 VA Primary

Addresses

Primary practice location

3210 Churchland Blvd
Suite 4
Chesapeake, VA 23321-5253

Mailing address

1329 Botetourt GDNS
Norfolk, VA 23517-2203
Phone (757) 483-3404

Other identifiers 2

IdentifierTypeStateIssuer
028681OtherVAANTHEM
N0007781342MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20101015000354 VA Practitioner - Clinical Psychologist 1951323500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael S. Weissman, PH.D.,LTDGroup PAC ID 1355314170, 16 clinicians

Practice addresses (Care Compare)

3101 American Legion Rd
Suite 21B
Chesapeake, VA 23321-5699
Phone (757) 483-3404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810-000761VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Weissman, PH.D.,LTD Clinical CurrentSince May 1, 1991 Accepting new patients
Psychotherapy Resources of Norfolk LTD Clinical PastSince May 1, 1991 Accepting new patients

Locations

3101 American Legion Rd
Ste 21B
Chesapeake, VA 23321
Phone (757) 483-3404

3210 Churchland Blvd
Ste 4
Chesapeake, VA 23321
Phone (757) 483-3340

Organizations & group practices 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699743203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 BOTETOURT GDNS",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172203",
            "telephone_number": "757-483-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 CHURCHLAND BLVD",
            "address_2": "SUITE 4",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215253",
            "telephone_number": "757-483-3404",
            "fax_number": "757-483-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSMAN",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810-000761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "028681",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0007781342",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.