Active NPI
David Charles Weiss, PH.D.
- Marriage & Family Therapist
- South Portland, ME
National Provider Identifier
1972664464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF1830
- Practice address
- 345 Cottage Rd
South Portland, ME 04106-3919 - Phone
- (207) 799-9595
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF1830 | ME | Primary |
Addresses
Primary practice location
345 Cottage Rd
South Portland, ME 04106-3919
Mailing address
27 Merrimac PL
Cape Elizabeth, ME 04107-1624
Phone (207) 799-7054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41Z047229ME01 | Other | ME | ANTHEM BCBS |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF1830 | ME | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972664464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 MERRIMAC PL",
"city": "CAPE ELIZABETH",
"state": "ME",
"postal_code": "041071624",
"telephone_number": "207-799-7054",
"fax_number": "207-767-7380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 COTTAGE RD",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063919",
"telephone_number": "207-799-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "DAVID",
"middle_name": "CHARLES",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ME",
"license": "MF1830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "41Z047229ME01",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.