Active NPI
Jesse Dillon Weidner, PSYD
- Clinical Psychologist
- Pensacola, FL
National Provider Identifier
1902979743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7678
- Practice address
- 25 W Cedar St Ste 120
Pensacola, FL 32502-5945 - Phone
- (850) 462-8925
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 016706 | NY | |
| Clinical Psychologist | 103TC0700X | PY7678 | FL | Primary |
Addresses
Primary practice location
25 W Cedar St Ste 120
Pensacola, FL 32502-5945
Mailing address
3485 Shannon PL
Pensacola, FL 32504-4480
Phone (850) 529-3606
Other names 1
- Dr. Jesse Dillon
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016706 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902979743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3485 SHANNON PL",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325044480",
"telephone_number": "850-529-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 W CEDAR ST STE 120",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325025945",
"telephone_number": "850-462-8925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDNER",
"first_name": "JESSE",
"middle_name": "DILLON",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "016706",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSE",
"last_name": "DILLON",
"prefix": "DR.",
"credential": "PSYD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.