Lonny C Weiss Psy D PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 6534 Issued in FL

Legal business name

LONNY C WEISS PSY D PA

Practice address

4362 Northlake Blvd
Suite 208
Palm Beach Gardens, FL 33410-6275

Phone

(561) 630-0865

Fax

(561) 630-0866

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lonny Cliff Weiss, PSY. D.NPI 1154319655

Title

President

Phone

(561) 630-0865

Specialties & licenses 1

Addresses

Other names 1

• Weiss Therapy Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lonny C Weiss, PSYD

  • Psychologist
  • Palm Beach Gardens, FL
  • NPI 1154319655

  Clinical

  Medicare reassignment NPD Authorized official
• Lori Dawn Blackman, L.C.S.W.

  • Clinical Social Worker
  • Delray Beach, FL
  • NPI 1750403127
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1962443754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4362 NORTHLAKE BLVD",
            "address_2": "SUITE 208",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106275",
            "telephone_number": "561-630-0865",
            "fax_number": "561-630-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4362 NORTHLAKE BLVD",
            "address_2": "SUITE 208",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106275",
            "telephone_number": "561-630-0865",
            "fax_number": "561-630-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONNY C WEISS PSY D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "LONNY",
        "authorized_official_middle_name": "CLIFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-630-0865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 6534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weiss Therapy Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daanaa S Lockheart
• Elaine Marie Locklear, DDS
• Janelle Breanne Logan
• Tiffany Lomas, M.A
• Margarita Murphy Long, PA-C
• Nicole Looney, LMHC
• Heidy Lopez
• Paola Lopez
• Paul Lopez, L AC
• Sandra L Lopez

• Clinical Psychologist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.

Verify at the official NPI Registry.