Individual provider Active NPI

Cherie Weiss, PH.D.

  • Counseling Psychologist
  • Wilmington, DE
National Provider Identifier
1861581845
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
B1-0000279 Issued in DE
Practice address
1407 Foulk Rd Ste 201
Wilmington, DE 19803-2754
Phone
(302) 475-1880
Fax
(302) 475-4964
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X B1-0000279 DE Primary

Addresses

Primary practice location

1407 Foulk Rd Ste 201
Wilmington, DE 19803-2754

Mailing address

1407 Foulk Rd Ste 201
Wilmington, DE 19803-2754
Phone (302) 475-1880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091002000274 DE Practitioner - Clinical Psychologist 6406905009 Practice locations: Wilmington, DE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
State University of New York at Buffalo School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1407 Foulk Rd
Suite 201
Wilmington, DE 19803-2754
Phone 30247518805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
B1-0000279DEMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1861581845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 FOULK RD STE 201",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032754",
            "telephone_number": "302-475-1880",
            "fax_number": "302-475-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 FOULK RD STE 201",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032754",
            "telephone_number": "302-475-1880",
            "fax_number": "302-475-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "CHERIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "DE",
            "license": "B1-0000279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.