| Nicola Weiss, Ph.d., Llc | |
|
416 Gloucester St Englewood NJ 07631-4706 | |
| (201) 320-7174 | |
| (800) 724-7270 |
| Full Name | Nicola Weiss, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 416 Gloucester St, Englewood, New Jersey |
| Authorized Official Name and Position | Nicola Weiss (OWNER) |
| Authorized Official Contact | 2013207174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicola Weiss, Ph.d., Llc 416 Gloucester St Englewood NJ 07631-4706 Ph: (201) 320-7174 | Nicola Weiss, Ph.d., Llc 416 Gloucester St Englewood NJ 07631-4706 Ph: (201) 320-7174 |
| NPI Number | 1487716916 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0547219735 |
|---|---|
| Medicare Enrollment ID | O20050114000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487716916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3844 (New Jersey) | Primary |
| Provider Name | Nicola L Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265594436 PECOS PAC ID: 9537118724 Enrollment ID: I20050114000083 |
| Provider Name | Samantha E Katz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790970705 PECOS PAC ID: 5294021085 Enrollment ID: I20180208000544 |
| Provider Name | Maryann Hom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447759048 PECOS PAC ID: 8426310418 Enrollment ID: I20180403002312 |
| Provider Name | Debra Ann Turitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710318357 PECOS PAC ID: 6103189428 Enrollment ID: I20180418002168 |
| Provider Name | Laura White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215585310 PECOS PAC ID: 6103223862 Enrollment ID: I20210922002079 |
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