Active NPIIndividual providerSole proprietor

Kenneth I Weiss, PSYD

Clinic/Center, VA in North Easton, Massachusetts

NPI Number1265469282
Practice location
115 Main St, Suite 2D, North Easton, MA 02356-1468
Fax
508-230-5089
Last updated
April 19, 2017

Kenneth I Weiss is a Clinic/Center, VA based in North Easton, MA. Kenneth I Weiss practices in North Easton, MA and has the professional credentials of PSYD. The NPI Number for Kenneth I Weiss is 1265469282 and holds a License No. 3881 (MA). The current practice location address for Kenneth I Weiss is 115 Main St, Suite 2D, North Easton, MA 02356-1468 and can be reached out via phone at 508-238-7766 and via fax at 508-230-5089.

Provider Profile Details

NPI Number
1265469282
Provider Name
Kenneth I Weiss
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
115 Main St, Suite 2D, North Easton, MA 02356-1468
Phone Number
508-238-7766
Fax Number
508-230-5089
Primary Taxonomy
Clinic/Center, VA · 261QV0200X
Sole Proprietor
Yes
Provider Enumeration Date
June 26, 2006
Last Update Date
April 19, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Main St
Suite 2D
North Easton, MA 02356-1468
Zip
02356-1468
Phone Number
508-238-7766
Fax Number
508-230-5089
North Easton, MA 02356Get directions →

Provider Business Mailing Address Details

Address
115 Main Street
Suite 2D
North Easton, MA 02356-1443
City
North Easton
State
MA
Zip
02356-1443
Phone Number
508-238-7766
Fax Number
508-230-5089

License Information

License Number (1)
3881
License State (1)
MA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
3881
License State (2)
MA
Taxonomy (2)
Clinic/Center, VA · 261QV0200X · Primary
License Number (3)
3881
License State (3)
MA
Taxonomy (3)
Psychologist, Family · 103TF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth I Weiss, PSYD?

The NPI number of Kenneth I Weiss, PSYD is 1265469282. It was assigned on June 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Kenneth I Weiss, PSYD?

Kenneth I Weiss, PSYD is registered under the primary taxonomy Clinic/Center, VA (code 261QV0200X), licensed in MA under license number 3881.

Where does Kenneth I Weiss, PSYD practice?

The practice location is 115 Main St, Suite 2D, North Easton, MA 02356-1468. The office can be reached at 508-238-7766 (phone) or 508-230-5089 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265469282 directly on the NPPES registry website.

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