DR. JOHN WEIR PH.D.
NPI 1306868518
Psychologist in San Rafael, CA

Active since July 24, 2006Opted out of Medicare · through Jul 1, 2028
711 D ST, #209, SAN RAFAEL, CA 94901(415) 457-8886 Get Directions Write a Review

NPPES record last updated: June 27, 2011. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. John Weir Ph.d. NPPES

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

DR. JOHN WEIR PH.D. (NPI 1306868518) is an individual psychologist in San Rafael, California, licensed in California (PSY5615) and active in the NPI registry since July 2006. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306868518
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOHN WEIRCredential: PH.D.
Location Address711 D ST, #209San Rafael, CA 94901-3707
Mailing Address200 Forbes AveSan Anselmo, CA 94960-2314 · (415) 457-8886
Sole ProprietorYes
Enumeration DateJuly 24, 2006
Last NPPES UpdateJune 27, 2011
NPI 1306868518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY5615
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY5615 (CA)
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License PSY5615 (CA)
711 D ST, San Rafael, CA 94901

Other Identifiers 1

Medicare ID-Type Unspecified00PL56150CA · Provider #

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. John Weir Ph.d. 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 July 1, 2018 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2018
Opt-Out In Effect ThroughJuly 1, 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 20

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

Counselor (Mental Health)
711 D ST
SAN RAFAEL, CA 94901
Psychologist
711 D ST, SUITE 207
SAN RAFAEL, CA 94901
Chiropractor
711 D ST, SUITE 104
SAN RAFAEL, CA 94901
Counselor (Mental Health)
711 D ST, #201
SAN RAFAEL, CA 94901
Pediatrics (Adolescent Medicine)
711 D ST, SUITE 113
SAN RAFAEL, CA 94901
Marriage & Family Therapist
711 D ST, SUITE 201
SAN RAFAEL, CA 94901
Physical Therapist
711 D ST, #102
SAN RAFAEL, CA 94901
Marriage & Family Therapist
711 D ST
SAN RAFAEL, CA 94901

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 John Weir's NPI number?

The NPI number for John Weir is 1306868518. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is John Weir located?

John Weir practices at 711 D St #209, San Rafael, CA 94901. The listed phone number is (415) 457-8886.

What is John Weir's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is John Weir enrolled in Medicare?

No. John Weir has opted out of Medicare through July 1, 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 John Weir was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.