Individual provider Active NPI

Henry W Weisman, MD

  • Psychiatry Physician
  • Harlingen, TX
National Provider Identifier
1801884895
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N4197 Issued in TX
Practice address
512 Victoria LN Ste 13
Harlingen, TX 78550-3228
Phone
(956) 296-3821
Fax
(956) 296-3820
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X N4197 TX
Psychiatry Physician 2084P0800X N4197 TX Primary

Addresses

Primary practice location

512 Victoria LN Ste 13
Harlingen, TX 78550-3228

Mailing address

2102 Treasure Hills Blvd # 3.14406
Harlingen, TX 78550-8736
Phone (956) 296-1437

Other practice location 1

2106 Treasure Hills Blvd # 1.326
Harlingen, TX 78550
Phone (956) 296-1519

Other practice location 2

3115 Center Point Dr
Edinburg, TX 78539-8433
Phone (956) 296-1987

Other identifiers 2

IdentifierTypeStateIssuer
210149504MedicaidTX
H08ML17001OtherTXBCBS

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N4197TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Plains Community MHMR Center Past Accepting new patients
Temple Physicians Inc Past Accepting new patients
Temple Physician Inc. Past Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Organizations & group practices 4

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1801884895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 TREASURE HILLS BLVD # 3.14406",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508736",
            "telephone_number": "956-296-1437",
            "fax_number": "956-296-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 VICTORIA LN STE 13",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503228",
            "telephone_number": "956-296-3821",
            "fax_number": "956-296-3820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2106 Treasure Hills Blvd # 1.326",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "78550",
            "country_code": "US",
            "telephone_number": "956-296-1519",
            "fax_number": "956-296-1331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3115 Center Point Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785398433",
            "country_code": "US",
            "telephone_number": "956-296-1987",
            "fax_number": "956-630-0074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "HENRY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "TX",
            "license": "N4197",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N4197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210149504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08ML17001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.