DR. MICHAEL DALE WEIL (NPI# 1104932227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104932227 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DALE WEIL |
| Credential | PSY.D. |
| Practice Address |
20 Grove St Peterborough NH 03458-1470 |
| Practice Telephone | 6039247462 |
| Practice Fax Number | 6039242138 |
| Mailing Telephone | 6039247462 |
| Mailing Fax Number | 6039242138 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
468 | NH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | ANTHEM BLUE CROSS | 0606182Y0NH01 | 01 |
| NH | 30002642 | 05 | |
| NH | HEALTH CARE VALUE MANAGEM | NH 468 | 01 |
| NH | AETNA | NH 468 | 01 |
| HARVARD PILGRIM HEALTH | 015523 | 01 | |
| NH | UNITED BEHAVIORAL HEALTH | NH 468 | 01 |
| NH | CIGNA | 1002835 | 01 |
| NH | CBA | NH 468 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801322268 | Michael Weil | Specialist | 1165 S Dora St, Ukiah, CA 95482-8325 | 2017-05-04 |
| 1780750802 | Michael K Weil | Dermatology | 380 Gateway Dr, Slidell, LA 70461-5540 | 2006-11-28 |
| Street Address |
20 GROVE ST |
| City | PETERBOROUGH |
| State | NH |
| Zip Code | 03458-1470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598184012 | Building Blocks Child and Adult Psychotherapy, LLC | Counselor | 20 Grove St, Ste. 200, Peterborough, NH 03458-1470 | 2014-04-11 |
| 1356765523 | Building Blocks Child and Adult Psychotherapy, LLC | Community/Behavioral Health | 20 Grove St, Suite 200, Peterborough, NH 03458-1470 | 2014-02-09 |
| 1194917401 | Ross Whitney Davidson | Counselor | 20 Grove St, Ste. 200, Peterborough, NH 03458-1470 | 2007-08-10 |
| 1043352644 | Richard S Dufresne | Social Worker | 20 Grove St, Peterborough, NH 03458-1470 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737608 | Amy Sue Odell Wilson | Acupuncturist | 78 Concord Street, Peterborough, NH 03458 | 2020-03-30 |
| 1144787037 | Aaron Cubbage | Massage Therapist | 20 Depot Street, Suite 310-3, Peterborough, NH 03458 | 2019-02-27 |
| 1285152892 | Taylor Joan Cordts | Physical Therapist | 150 Rivermead Road, Peterborough, NH 03458 | 2017-09-03 |
| 1659892701 | Ga Perry Dds Peterborough Pllc | Dentist | 70 Main Street, Suite 202, Ga Perry Dds Peterborough Pllc, Peterborough, NH 03458 | 2017-06-29 |
| 1356889901 | Brittany Molino | Physician Assistant | 458 Old Street Rd Ste 200, Peterborough, NH 03458 | 2017-02-03 |
| 1255889549 | Jade Ashton Durgin | Physician Assistant | 424 Old Street Road Suite 201, Peterborough, NH 03458 | 2016-09-14 |
| 1891050530 | Lara Kroodsma, Psyd, Pllc | Community/Behavioral Health | 25b Steele Rd, Peterborough, NH 03458 | 2012-07-09 |
| 1073817664 | Linda M Perry | Counselor | 7 Vose Farm Road, Peterborough, NH 03458 | 2010-12-22 |
| 1396071619 | Siobhan K Benham | Nurse Practitioner | 109c Grove Street, Peterborough, NH 03458 | 2009-10-21 |
| 1245488253 | Barbara Lloyd | Counselor | 9 Vose Road, Peterborough, NH 03458 | 2008-09-03 |
| Find all providers in zip 03458 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215298336 | Paul Walter Frehner | Psychologist | 174 Concord St, Peterborough, NH 03458-1238 | 2012-06-05 |
| 1306046784 | Lifestrands Counseling Services, Pllc | Psychologist | 45 Main St, Suite 201, Peterborough, NH 03458-2447 | 2007-07-23 |
| 1780748301 | Celia Gail Oliver | Psychologist | 45 Main St, Suite 201, Peterborough, NH 03458-2447 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667682 | Sarah Warren | Psychologist | 60 Dumbarton Oaks, Stratham, NH 03885-2107 | 2020-07-23 |
| 1326665712 | Joshua J Green | Psychologist | 37 Church St Apt 4, Keene, NH 03431-3892 | 2020-07-01 |
| 1770102998 | Dcy Consulting Pllc | Psychologist | 11 Brackenwood Drive, Nashua, NH 03062 | 2020-04-09 |
| 1134761927 | Katherine Evarts Rice | Psychologist | 40 Avon St, Keene, NH 03431-3516 | 2019-10-13 |
| 1023576899 | Mountain Psychology Group, Pllc | Psychologist | 111 Saranac St Ste 135, Littleton, NH 03561-4088 | 2019-03-11 |
| 1679059968 | Life Improved, LLC | Psychologist | 300 Main Street, Suite 200, Plymouth, NH 03264 | 2018-07-19 |
| 1245723360 | Kathy Davisgillette | Psychologist | 2 Park Cir, North Hampton, NH 03862-2244 | 2018-06-13 |
| 1942799911 | David Cort Young | Psychologist | 11 Brackenwood Dr, Nashua, NH 03062-4529 | 2018-05-06 |
| 1093235038 | Lauren Katherine Meehan | Psychologist | 87 Stiles Rd Ste 106, Salem, NH 03079-2899 | 2017-06-21 |
| 1558809335 | Tara Mcbride Afonso | Psychologist | 10 Ferry St Ste 313, Medoptions of New Hampshire, LLC., Concord, NH 03301-5004 | 2017-02-01 |
| Find all providers with the same taxonomy | ||||
| City | PETERBOROUGH |
| Zip Code | 03458 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.