Carolyn Weiss, APRN

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

R080752 Issued in MD

Practice address

932 Hungerford Dr
Suite 39
Rockville, MD 20850-1713

Phone

(301) 806-7623

NPI assigned

Jul 27, 2007

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1811187669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8734",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209078734",
            "telephone_number": "301-806-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 HUNGERFORD DR",
            "address_2": "SUITE 39",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501713",
            "telephone_number": "301-806-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "CAROLYN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "R080752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard I Weinstein, M.D.
• Cheryl Weisel, LCSWC
• Sejong Weisiger
• Andrea Robin Weiss, PH.D.
• Arthur Z Weiss, DMD
• Joan C, Weiss, MSW, LCSW-C
• Stephani Weiss
• Laurie Weitzman, LCSW-C
• Breanna Welborn
• Amelia C Welch, PH.D.

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Rockville, MD
• Providers in Rockville, MD by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.