Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack R Weitz PHD PA

Organization Psychologist · NPI 1063579662

Jack R Weitz PHD PA is a Psychologist in N Miami Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1021 Ives Dairy Rd Bldg 3 Ste 119
N Miami Beach, FL 33179
Phone: (305) 655-2335
Fax: (305) 652-5759
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY4345 (FL)

Record details

NPI number1063579662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Weitz — President Psychologist · (305) 655-2335
NPI enumeratedJanuary 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1021 Ives Dairy Rd, Bldg 3 Suite 119, N Miami Beach, FL 33179