Active NPI
Marie C. Weil, PSYD, LLC
- Clinical Psychologist
- Silver City, NM
National Provider Identifier
1861054298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- MARIE C. WEIL, PSYD, LLC
- Practice address
- 206 E 11TH St
Silver City, NM 88061-5503 - Phone
- (575) 342-1236
- NPI assigned
- Jul 6, 2019
- Last updated
- Mar 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie C Weil, PSYD
- Title
- Member
- Phone
- (575) 342-1236
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Health Psychologist | 103TH0004X |
Addresses
Primary practice location
206 E 11TH St
Silver City, NM 88061-5503
Mailing address
PO Box 922
Silver City, NM 88062-0922
Phone (575) 342-1236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79050093 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
206 E 11th St
Silver City, NM 88061
Phone (575) 202-2713
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Silver City, NM
- NPI 1083893424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679702400000",
"number": "1861054298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 922",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880620922",
"telephone_number": "575-342-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 E 11TH ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615503",
"telephone_number": "575-342-1236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIE C. WEIL, PSYD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-06",
"last_updated": "2023-03-25",
"certification_date": "2023-03-25",
"status": "A",
"authorized_official_last_name": "WEIL",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "575-342-1236",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TH0004X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79050093",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.