Kenneth Mark Weiss, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2728 Issued in OH

Practice address

10000 Brecksville Rd
VA Medical Center - 51a
Brecksville, OH 44141-3204

Phone

(440) 526-3030

Fax

(440) 546-2753

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760492730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 BRECKSVILLE RD",
            "address_2": "VA MEDICAL CENTER - 51A",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413204",
            "telephone_number": "440-526-3030",
            "fax_number": "440-546-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BRECKSVILLE RD",
            "address_2": "VA MEDICAL CENTER - 51A",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413204",
            "telephone_number": "440-526-3030",
            "fax_number": "440-546-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "KENNETH",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "2728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wampler
• Terry Washam, LISW
• Lashone Denise Washington, LISW
• Lisa Anne Weber
• Gary Charles Weinsheimer, MSW LISW
• Kodee Welch, CCC-SLP
• Lyndsey Welch, MA-SLP
• Sarah Welch, PHARMD
• Welcore
• Adam C Wendt, MPT

• Psychologist in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Psychologist in Ohio

• 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.