Individual provider Active NPI

Laurie Weber, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1881829471
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
014957-1 Issued in NY
Practice address
49 W 24TH St
Suite 907
New York, NY 10010-3206
Phone
(917) 566-5708
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 014957-1 NY Primary

Addresses

Primary practice location

49 W 24TH St
Suite 907
New York, NY 10010-3206

Mailing address

49 W 24TH St
Suite 907
New York, NY 10010-3206
Phone (917) 566-5708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 5, 2022 through Dec 5, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
014957NYMDMental Health Counselor
014957-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1881829471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 W 24TH ST",
            "address_2": "SUITE 907",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103206",
            "telephone_number": "917-566-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 W 24TH ST",
            "address_2": "SUITE 907",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103206",
            "telephone_number": "917-566-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "LAURIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014957-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.