Active NPI
Deborah A. Macina Weitz, PSY.D
- Psychologist
- Bronx, NY
National Provider Identifier
1699897314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35S100416900
- Practice address
- 3600 Fieldston Road
Suite 2G
Bronx, NY 10463-2007 - Phone
- (917) 971-4824
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35S100416900 | NJ | Primary |
Addresses
Primary practice location
3600 Fieldston Road
Suite 2G
Bronx, NY 10463-2007
Mailing address
3600 Fieldston Road
Suite 2G
Bronx, NY 10463
Phone (917) 971-4824
Other practice location 1
636 Morris Tpke Ste 2G
Short Hills, NJ 07078-2608
Phone (917) 971-4824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0041971 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100416900 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vericare Behavioral Health of New Jersey, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- San Diego, CA
- NPI 1669408274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1699897314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FIELDSTON ROAD",
"address_2": "SUITE 2G",
"city": "BRONX",
"state": "NY",
"postal_code": "10463",
"telephone_number": "917-971-4824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 FIELDSTON ROAD",
"address_2": "SUITE 2G",
"city": "BRONX",
"state": "NY",
"postal_code": "104632007",
"telephone_number": "917-971-4824"
}
],
"practiceLocations": [
{
"address_1": "636 Morris Tpke Ste 2G",
"address_purpose": "LOCATION",
"city": "Short Hills",
"state": "NJ",
"postal_code": "070782608",
"country_code": "US",
"telephone_number": "917-971-4824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACINA WEITZ",
"first_name": "DEBORAH",
"middle_name": "A.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35S100416900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0041971",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.