DR. GORDON S WEISS MD
NPI 1174600258
Psychiatry & Neurology - Child & Adolescent Psychiatry in East Haven, CT

Active since November 01, 2006Opted out of Medicare · through Jun 30, 2028
595 THOMPSON AVENUE, EAST HAVEN COUNSELING & COMMUNITY SERVICES, EAST HAVEN, CT 06512(203) 468-3297(203) 468-3334 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Gordon S Weiss Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GORDON S WEISS MD (NPI 1174600258) is an individual child & adolescent psychiatry provider in East Haven, Connecticut, licensed in Connecticut (035345) and active in the NPI registry since November 2006. He has opted out of Medicare through June 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174600258
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. GORDON S WEISSCredential: MD
Location Address595 THOMPSON AVENUE, EAST HAVEN COUNSELING & COMMUNITY SERVICESEast Haven, CT 06512
Mailing Address595 Thompson Avenue, East Haven Counseling & Community ServicesEast Haven, CT 06512 · (203) 468-3297 · Fax (203) 468-3334
Fax(203) 468-3334
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1174600258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CT · 035345
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
595 THOMPSON AVENUE, East Haven, CT 06512

Other Identifiers 1

Medicare ID-Type UnspecifiedC01936Agency #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gordon S Weiss Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 30, 2022 through June 30, 2028.

Opt-Out Effective DateJune 30, 2022
Opt-Out In Effect ThroughJune 30, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
595 THOMPSON AVENUE, EAST HAVEN COUNSELING & COMMUNITY SERVICES
EAST HAVEN, CT 06512
Counselor (Professional)
595 THOMPSON AVENUE, EAST HAVEN COUNSELING & COMMUNITY SERVICES
EAST HAVEN, CT 06512

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 Gordon Weiss's NPI number?

The NPI number for Gordon Weiss is 1174600258. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Gordon Weiss located?

Gordon Weiss practices at 595 Thompson Avenue East Haven Counseling & Community Services, East Haven, CT 06512. The listed phone number is (203) 468-3297.

What is Gordon Weiss's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Gordon Weiss enrolled in Medicare?

No. Gordon Weiss has opted out of Medicare through June 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gordon Weiss was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.