MEDICARE: WEISSMAN INTEGRATIVE PSYCHIATRY & CONSULTING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse

General Provider Information

NPI Number	:	1720938053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEISSMAN INTEGRATIVE PSYCHIATRY & CONSULTING, PLLC

Provider Business Mailing Address
First Line	:	714B SOUTHBRIDGE ST
Second Line	:
City	:	AUBURN
State	:	MA
Zip	:	01501-1821
Country	:	US
Telephone Number	:	774-406-2091
Fax Number	:	774-209-4491

Provider Business Practice Location Address
First Line	:	714B SOUTHBRIDGE ST
Second Line	:
City	:	AUBURN
State	:	MA
Zip	:	01501-1821
Country	:	US
Telephone Number	:	774-406-2091
Fax Number	:	774-209-4491

Authorized Official
Title or Position	:	PSYCHIATRIC NURSE PRACTITIONER
Name	:	JESSICA WEISSMAN
Credential	:	PMHNP-BC
Telephone Number	:	774-406-2091

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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