DR. CAROL JULIET WEISS M.D.
NPI 1053490722
Psychiatry & Neurology - Addiction Psychiatry in New York, NY
- Individual
- Female
- Psychiatry & Neurology
- Addiction Psychiatry
- PECOS Enrolled
- Opted-Out Medicare
About CAROL WEISS
This page provides the complete NPI Profile along with additional information for Carol Weiss, a provider established in New York, New York with a medical specialization in Psychiatry & Neurology, focusing in addiction psychiatry . The healthcare provider is registered in the NPI registry with number 1053490722 assigned on November 2006. The practitioner's primary taxonomy code is 2084P0802X with license number 464 (NY). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1053490722 Verify this NPI
- Provider Name
- DR. CAROL JULIET WEISS M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1044 MADISON AVE PENTHOUSE 1 NEW YORK, NY 10021
- Location Phone
- (212) 988-1209
- Mailing Address
- 1044 MADISON AVE PENTHOUSE 1 NEW YORK, NY 10021
- Mailing Phone
- (212) 988-1209
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-03-2006
- Last Update Date
- 09-11-2025
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Carol Weiss opted out of Medicare effective on 03-05-2017 until 03-05-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Addiction Psychiatry
- Taxonomy Code
- 2084P0802X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 464
- License State
- NY
- Taxonomy Description
- Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 158039 (NY) |
Medicare Participation & PECOS Enrollment Status
Carol Weiss is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-05-2017
Opt-Out End Date: 03-05-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053490722, enumerated as an "individual" on November 03, 2006.
The provider is located at 1044 MADISON AVE PENTHOUSE 1 NEW YORK, NY 10021 and the phone number is (212) 988-1209.
Psychiatry & Neurology with taxonomy code 2084P0802X and a focus in Addiction Psychiatry.