KENNETH I WEISS (PSY.D.) – VA Clinic/Center, NPI 1265469282

KENNETH I WEISS (PSY.D.) is a healthcare provider. based in North easton, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 3881 (MA). The NPI Number for KENNETH I WEISS (PSY.D.) is 1265469282

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH I WEISS (PSY.D.)
NPI
1265469282
Phone
(508) 238-7766
Address
115 MAIN STREET
Enumeration Date
26 June 2006
Last Update Date
19 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7815510999
Graduation Year
1984 (42 years ago)
PAC ID
2961305578
Group Practice PAC ID
5991763823
Professional Enrollment ID
I20110510000226
Address ID
MA020625233NO89XXXRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for KENNETH I WEISS (PSY.D.)

  • 115, Main Street, Daley Corner, North Easton, Easton, Bristol County, Massachusetts, 02357, United States

    SUITE 2D

    NORTH EASTON, MA 023561443

    Phone: (508) 238-7766

    Fax: (508) 230-5089

    Type: Mailing

  • Westwood-Mansfield Pediatric Associates, 115, Main Street, Daley Corner, Easton, Bristol County, Massachusetts, 02357, United States

    SUITE 2D

    NORTH EASTON, MA 023561468

    Phone: (508) 238-7766

    Fax: (508) 230-5089

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110510000226IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02356)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991763823View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for KENNETH I WEISS (PSY.D.)?
KENNETH I WEISS (PSY.D.) — NPI 1265469282 — is the standard way to identify this listing.
Is KENNETH I WEISS (PSY.D.) still practicing?
KENNETH I WEISS (PSY.D.) is currently listed as active in the public NPI registry.
What is KENNETH I WEISS (PSY.D.)'s specialty?
The listing groups KENNETH I WEISS (PSY.D.) with VA Clinic/Center. Clinical services aligned with this taxonomy classification.
Does KENNETH I WEISS (PSY.D.) list a practice location?
Patients near North Easton, Massachusetts may find KENNETH I WEISS (PSY.D.) in results; validate coverage separately.
Is the information about KENNETH I WEISS (PSY.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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