Individual provider Active NPI

Grace Fran Weissman, PH D

  • Clinical Psychologist
  • Bethesda, MD
National Provider Identifier
1952497786
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
01664 Issued in MD
Practice address
7910 Woodmont Avenue
Suite 1102
Bethesda, MD 20814-7020
Phone
(301) 718-9772
Fax
(301) 656-0544
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 01664 MD Primary

Addresses

Primary practice location

7910 Woodmont Avenue
Suite 1102
Bethesda, MD 20814-7020

Mailing address

7910 Woodmont Avenue
Suite 1102
Bethesda, MD 20814-7020
Phone (301) 718-9772

Other identifiers 1

IdentifierTypeStateIssuer
H314 GL63OtherMDCAREFIRST BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20120307000049 DC Practitioner - Clinical Psychologist 3072772326 Practice locations: Bethesda, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
George Washington University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7910 Woodmont Ave
Suite 1102
Bethesda, MD 20814-7020
Phone (301) 718-9772

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01664MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952497786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 WOODMONT AVENUE",
            "address_2": "SUITE 1102",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208147020",
            "telephone_number": "301-718-9772",
            "fax_number": "301-656-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 WOODMONT AVENUE",
            "address_2": "SUITE 1102",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208147020",
            "telephone_number": "301-718-9772",
            "fax_number": "301-656-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSMAN",
        "first_name": "GRACE",
        "middle_name": "FRAN",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "01664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "H314 GL63",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.