Provider Demographics
NPI:1902008436
Name:WEISS, HELGA (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELGA
Middle Name:
Last Name:WEISS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33-15 80TH STREET
Mailing Address - Street 2:SUITE 62
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-1307
Mailing Address - Country:US
Mailing Address - Phone:718-898-5463
Mailing Address - Fax:718-898-5463
Practice Address - Street 1:33-15 80TH STREET
Practice Address - Street 2:SUITE 62
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-1307
Practice Address - Country:US
Practice Address - Phone:718-898-5463
Practice Address - Fax:718-898-5463
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009599103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY145199OtherVALUE OPTIONS
NY0069754OtherGROUP HEALTH INS GHI
NYS095992BOtherWORKERS COMPSENSATION BOA
NYS095992BOtherWORKERS COMPSENSATION BOA
R28104Medicare UPIN