Jack R Weitz PHD PA
NPI 1063579662 · Psychologist · N Miami Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack R Weitz PHD PA is a Psychologist organization in N Miami Beach, FL (NPI 1063579662).
Provider details
- NPI number
- 1063579662
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jack Weitz, President Psychologist(305) 655-2335
- License
- PY4345 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jack R Weitz PHD PA's NPI number?
- Jack R Weitz PHD PA's National Provider Identifier (NPI) is 1063579662, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack R Weitz PHD PA?
- Jack R Weitz PHD PA is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Jack R Weitz PHD PA located?
- Jack R Weitz PHD PA's practice location on file with NPPES is 1021 Ives Dairy Rd, N Miami Beach, FL 33179.
- What is Jack R Weitz PHD PA's phone number?
- The practice phone number listed in the NPPES registry for Jack R Weitz PHD PA is (305) 655-2335.
- Does Jack R Weitz PHD PA accept Medicare?
- Jack R Weitz PHD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jack R Weitz PHD PA?
- The authorized official listed on Jack R Weitz PHD PA's NPPES record is Jack Weitz, President Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack R Weitz PHD PA's NPI active?
- Yes — Jack R Weitz PHD PA's NPI (1063579662) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.