JACK R WEITZ PHD PA
NPI 1063579662
Psychologist in N Miami Beach, FL
About Jack R Weitz Phd Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK R WEITZ PHD PA (NPI 1063579662) is a healthcare organization registered as a psychologist in N Miami Beach, Florida and active in the NPI registry since January 2007. The organization lists Jack Robert Weitz, President Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jack R Weitz Phd Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jack R Weitz Phd PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
North Miami Beach, FL 33179
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jack R Weitz Phd PA's NPI number?
The NPI number for Jack R Weitz Phd PA is 1063579662. It was assigned to this organization in the NPPES registry on January 2, 2007.
Where is Jack R Weitz Phd PA located?
Jack R Weitz Phd PA is located at 1021 Ives Dairy Rd Bldg 3 Suite 119, N Miami Beach, FL 33179. The listed phone number is (305) 655-2335.
What is Jack R Weitz Phd PA's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jack R Weitz Phd PA enrolled in Medicare?
Yes. Jack R Weitz Phd PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jack R Weitz Phd PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jack R Weitz Phd PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jack R Weitz Phd PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.