DR. NICOLE HOLLAND WEISS PH.D.
NPI 1578039855
Psychologist in Philadelphia, PA

Active since October 15, 2018PECOS Enrolled
3720 SPRUCE ST # 409, PHILADELPHIA, PA 19104(844) 287-4228 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Nicole Holland Weiss Ph.d. NPPES

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

DR. NICOLE HOLLAND WEISS PH.D. (NPI 1578039855) is an individual psychologist in Philadelphia, Pennsylvania, licensed in Rhode Island (PS01734) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578039855
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. NICOLE HOLLAND WEISSCredential: PH.D.
Location Address3720 SPRUCE ST # 409Philadelphia, PA 19104-4115
Mailing Address3 W Scenic View DrJohnston, RI 02919-2935
Sole ProprietorNo
Enumeration DateOctober 15, 2018
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
NPI 1578039855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in RI · PS01734
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.

3720 SPRUCE ST # 409, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nicole Holland Weiss Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Psychologist
3720 SPRUCE ST # 409
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578039855, enumerated as an "individual" on October 15, 2018.

The provider is located at 3720 SPRUCE ST # 409 PHILADELPHIA, PA 19104 and the phone number is (844) 287-4228.

Psychologist with taxonomy code 103T00000X.