KENNETH I WEISS (NPI# 1265469282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265469282 |
| Entity Type | Individual |
| Full Name | KENNETH I WEISS |
| Credential | PSY.D. |
| Practice Address |
115 Main St Suite 2d North Easton MA 02356-1468 |
| Mailing Address |
115 Main Street Suite 2d North Easton MA 02356-1443 |
| Practice Telephone | 5082387766 |
| Practice Fax Number | 5082305089 |
| Mailing Telephone | 5082387766 |
| Mailing Fax Number | 5082305089 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2017-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
3881 | MA | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
3881 | MA | Behavioral Health & Social Service Providers |
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
3881 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 773102 | 01 |
| MA | 1899031 | 05 | |
| MA | BC BS OF MASSACHUSETTS | WO3901 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861415887 | Kenneth Joel Weiss | General Practice | 9890 Main Street Rear, Damascus, MD 20872-2087 | 2006-07-25 |
| 1225087877 | Kenneth Weiss | Family Medicine | 8101 Washington Ln, Suite 101, Wyncote, PA 19095-1625 | 2006-05-10 |
| 1700889730 | Kenneth S Weiss | Orthopaedic Surgery | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2005-05-23 |
| 1164564852 | Kenneth J Weiss | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2007-02-12 |
| 1538209515 | Kenneth Weiss | Otolaryngology | 10377 S Us Highway 1, Ste 101, Port St Lucie, FL 34952-5630 | 2007-02-07 |
| 1356407506 | Kenneth Jay Weiss | Psychiatry & Neurology | 333 E City Ave, Suite 300, Bala Cynwyd, PA 19004-1501 | 2006-12-29 |
| 1396835096 | Kenneth S Weiss | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-10-13 |
| 1760492730 | Kenneth Mark Weiss | Psychologist | 10000 Brecksville Rd, Va Medical Center - 51a, Brecksville, OH 44141-3204 | 2006-08-09 |
| 1497783161 | Kenneth L Weiss | Radiology | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2006-06-29 |
| Street Address |
115 MAIN ST SUITE 2D |
| City | NORTH EASTON |
| State | MA |
| Zip Code | 02356-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649722471 | Courtney Kelsch | Psychologist | 115 Main St, Suite 2d, North Easton, MA 02356-1468 | 2016-10-27 |
| 1912388570 | Rachel Ganz | Social Worker | 115 Main St, Suite 2d, North Easton, MA 02356-1468 | 2015-06-09 |
| 1063659852 | Joseph R. Peluso | Dentist | 115 Main St, North Easton, MA 02356-1468 | 2009-01-15 |
| 1023210564 | Mary Beth Curreri | Physical Therapist | 115 Main St, Suite 2c, North Easton, MA 02356-1468 | 2007-06-05 |
| 1457427882 | Karen Ann Francioso-howe | Speech-Language Pathologist | 115 Main St, North Easton, MA 02356-1468 | 2006-11-28 |
| 1639279029 | Virginia Edwina Tay | Clinical Nurse Specialist | 115 Main St, Suite 2d, North Easton, MA 02356-1468 | 2006-09-25 |
| 1326052317 | Psychological Associates of Southeastern Massachusetts, LLC | Social Worker | 115 Main St, Suite 2d, North Easton, MA 02356-1468 | 2006-07-28 |
| 1285669127 | Susan K Plante | Clinical Nurse Specialist | 115 Main St, Suite 2d, North Easton, MA 02356-1443 | 2006-07-11 |
| 1073548954 | Beverly A Benedetti | Clinical Nurse Specialist | 115 Main St, Suite 2d, North Easton, MA 02356-1468 | 2006-07-11 |
| 1043245905 | Jean M Lochiatto | Social Worker | 115 Main St, Suite 2d, North Easton, MA 02356-1468 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174005110 | Easton Eye Consultants, PC | Optometrist | Easton Eye Consultants, 15 Roche Bros Way Suite 100, North Easton, MA 02356 | 2018-09-06 |
| 1366932386 | Thomas Joseph Clarke | Psychologist | 171 Poquanticut Avenue, North Easton, MA 02356 | 2018-05-15 |
| 1821509985 | Ariel Hovland | Physical Therapist | 2 Belmont Street, Easton, MA 02356 | 2017-10-17 |
| 1326109968 | Gregory Peter Perron | Chiropractor | 990 Pleasant St, Brockton, MA 02356 | 2006-12-13 |
| 1326116153 | Linda J Mcgettigan | Acupuncturist | The Village Acupuncturist, 115 Main St. Suite 2c, North Easton, MA 02356 | 2006-12-01 |
| 1841306198 | Thomas Francis Herlihy Iv | Dentist | 191 Washington St, North Easton, MA 02356 | 2006-08-21 |
| 1801864335 | Thane Nolan Turner | Family Medicine | 3 Washington St Ste 220, North Easton, MA 02356 | 2006-03-10 |
| 1942283577 | Judith S Colandreo | Physical Therapist | 15 Roche Bros. Way, North Easton, MA 02356 | 2005-11-29 |
| 1275514143 | Stanley M Leitzes | Orthopaedic Surgery | 15 Roche Bros Way, Orthopedic Care Specialists, Inc, North Easton, MA 02356 | 2005-11-08 |
| 1689144214 | Sarah Beth Krajewski | Advanced Practice Midwife | 31 Roche Brothers Way, North Easton, MA 02356 | 2018-11-27 |
| Find all providers in zip 02356 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407399298 | Northampton Vamc | Clinic/Center | 55 N. Lake Avenue, 7th Floor, Worcester, MA 01655-0002 | 2016-11-28 |
| 1265832943 | Milton Vazquez | Clinic/Center | 95 Ashley Ave Ste A, Springfield Vet Center, West Springfield, MA 01089-1352 | 2014-08-29 |
| 1659665537 | Northampton Vamc | Clinic/Center | 881 Main Street, Phillip J. Philbin Federal Building, Fitchburg, MA 01420-3057 | 2011-06-08 |
| 1083767503 | Northampton Vamc | Clinic/Center | 143 Munson St, Greenfield, MA 01301-9694 | 2007-01-19 |
| 1033156518 | Northampton Vamc | Clinic/Center | 73 Eagle St, Pittsfield, MA 01201-4714 | 2006-06-01 |
| 1902851306 | Providence Vamc | Clinic/Center | 233 Stevens St, Hyannis, MA 02601-3766 | 2006-05-23 |
| 1417301714 | Northampton Vamc | Clinic/Center | 377 Plantation St, Building #4, Worcester, MA 01605-2300 | 2016-04-22 |
| 1861887721 | Boston Vamc | Clinic/Center | 150 S Huntington Ave, Boston, MA 02130-4817 | 2015-03-30 |
| 1952650525 | Boston Vamc | Clinic/Center | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2012-08-29 |
| 1669766564 | Northampton Vamc | Clinic/Center | 605 Lincoln St, Worcester, MA 01605-1901 | 2011-06-08 |
| Find all providers with the same taxonomy | ||||
| City | NORTH EASTON |
| Zip Code | 02356 |
Please comment or provide details below to improve the information on KENNETH I WEISS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.