Active NPI
Christopher Weiss
- Behavior Technician
- Geneva, IL
National Provider Identifier
1720635766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-83470
- Practice address
- 25 N River LN Ste 2109
Geneva, IL 60134-2003 - Phone
- (562) 371-4696
- NPI assigned
- Aug 23, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-83470 | IL | Primary |
Addresses
Primary practice location
25 N River LN Ste 2109
Geneva, IL 60134-2003
Mailing address
5240 W Strong St
Chicago, IL 60630-2217
Phone (773) 503-6652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-83470 | IL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nexus Solutions for Autism, LLC. | Current | Accepting new patients |
Locations
25 N River Ln
Ste 2109
Geneva, IL 60134
Phone (331) 222-7724
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.
-
- Behavior Analyst
- Geneva, IL
- NPI 1881241859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1720635766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 W STRONG ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606302217",
"telephone_number": "773-503-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N RIVER LN STE 2109",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342003",
"telephone_number": "562-371-4696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-23",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-19-83470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.