Provider Demographics
NPI:1649443318
Name:NEIL M. WEISS M.D.
Entity type:Organization
Organization Name:NEIL M. WEISS M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING REPRESENTATIVE
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-858-1703
Mailing Address - Street 1:3545 S TAMARAC DR
Mailing Address - Street 2:SUITE 370
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1418
Mailing Address - Country:US
Mailing Address - Phone:303-694-0507
Mailing Address - Fax:303-694-1274
Practice Address - Street 1:3545 S TAMARAC DR
Practice Address - Street 2:SUITE 370
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1418
Practice Address - Country:US
Practice Address - Phone:303-694-0507
Practice Address - Fax:303-694-1274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16032103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC539938Medicare PIN