Active NPI
Burton A. Weiss, PH.D.
- Psychologist
- Philadelphia, PA
National Provider Identifier
1851514616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS000308L
- Practice address
- Liberal Arts Div., Univ. of the Arts
320 South Broad Street
Philadelphia, PA 19102 - Phone
- (215) 717-6260
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- 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 | PS000308L | PA | Primary |
Addresses
Primary practice location
Liberal Arts Div., Univ. of the Arts
320 South Broad Street
Philadelphia, PA 19102
Mailing address
36 Bridge Dr
Turnersville, NJ 08012-2334
Phone (856) 232-1667
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS000308L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851514616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 BRIDGE DR",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080122334",
"telephone_number": "856-232-1667",
"fax_number": "856-374-2877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LIBERAL ARTS DIV., UNIV. OF THE ARTS",
"address_2": "320 SOUTH BROAD STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19102",
"telephone_number": "215-717-6260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "BURTON",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS000308L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- 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.