DR. JED H. WEITZEN PH.D.
NPI 1497804900
Psychologist - Clinical in Ithaca, NY

Q: What is Jed Weitzen's NPI number?

The NPI number for Jed Weitzen is 1497804900. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Q: What is Jed Weitzen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jed Weitzen was last updated on July 8, 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.

Active since January 10, 2007

416 N TIOGA ST, ITHACA, NY 14850(607) 273-6946(607) 256-1680 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jed H. Weitzen Ph.d. NPPES

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

DR. JED H. WEITZEN PH.D. (NPI 1497804900) is an individual clinical provider in Ithaca, New York, licensed in New York (8507) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1497804900

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JED H. WEITZENCredential: PH.D.

Location Address416 N TIOGA STIthaca, NY 14850-4229

Mailing Address416 N Tioga StIthaca, NY 14850-4229 · (607) 273-6946 · Fax (607) 256-1680

Phone(607) 273-6946

Fax(607) 256-1680

Sole ProprietorYes

Enumeration DateJanuary 10, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1497804900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 8507

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

416 N TIOGA ST, Ithaca, NY 14850

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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.

MS. PATRICIA MARIE KARR-SEGAL LCSW

Social Worker

416 N TIOGA ST
ITHACA, NY 14850

Tompkins County (607) 256-8400

LEZLIE NAMASTE LCSW-R

Social Worker (Clinical)

416 N TIOGA ST
ITHACA, NY 14850

Tompkins County (607) 592-1062

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 Jed Weitzen's NPI number?

The NPI number for Jed Weitzen is 1497804900. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Jed Weitzen located?

Jed Weitzen practices at 416 N Tioga St, Ithaca, NY 14850. The listed phone number is (607) 273-6946.

What is Jed Weitzen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jed Weitzen was last updated on July 8, 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.