DR. JED H. WEITZEN (NPI# 1497804900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497804900 |
| Entity Type | Individual |
| Full Name | DR. JED H. WEITZEN |
| Credential | PH.D. |
| Practice Address |
416 N Tioga St Ithaca NY 14850-4229 |
| Practice Telephone | 6072736946 |
| Practice Fax Number | 6072561680 |
| Mailing Telephone | 6072736946 |
| Mailing Fax Number | 6072561680 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
8507 | NY | Behavioral Health & Social Service Providers |
| Street Address |
416 N TIOGA ST |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-4229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770884637 | Lezlie Namaste | Social Worker | 416 N Tioga St, Ithaca, NY 14850 | 2010-11-09 |
| 1417086778 | Patricia Marie Karr-segal | Social Worker | 416 N Tioga St, Ithaca, NY 14850-4229 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982110482 | Marta Maria Guzman Cotto | Psychologist | 312 College Ave, Ithaca, NY 14850-4700 | 2017-12-19 |
| 1528572237 | Cayuga Comprehensive Psychological Services, PC | Psychologist | 118 N Tioga St Ste 302, Ithaca, NY 14850-4343 | 2017-11-17 |
| 1235499138 | J. Tyson Merrill | Psychologist | 313 Roat St, Ithaca, NY 14850-2739 | 2012-05-24 |
| 1770806861 | Penelope A Krainin | Psychologist | 110 N Cayuga St, 4th Floor, Ithaca, NY 14850-4326 | 2010-03-04 |
| 1346402765 | Mark Francis Lenzenweger | Psychologist | 122a West Buffalo St, Ithaca, NY 14850 | 2008-06-26 |
| 1619161486 | Erika C Busch | Psychologist | 127 West State St. First Floor, Family & Children's Service of Ithaca, Ithaca, NY 14850-5427 | 2007-09-05 |
| 1932254984 | Edward G. Abelson | Psychologist | 329 S Geneva St, Ithaca, NY 14850-5417 | 2007-01-23 |
| 1720139637 | Linda Trees Mack | Psychologist | 233 S Albany St, Ithaca, NY 14850-5403 | 2007-01-16 |
| 1821159013 | Ritch C Savin-williams | Psychologist | 120 East Buffalo Street, Suite 8, Ithaca, NY 14850-4266 | 2006-12-12 |
| 1396777454 | Edward D Sorel | Psychologist | 110 N Caygua Street, Ithaca, NY 14850 | 2006-07-07 |
| Find all providers in ITHACA | ||||
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| 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.