Individual provider Active NPI

Diana Weinstock, PH.D.

  • Psychologist
  • Martinez, CA
National Provider Identifier
1023186400
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 8096 Issued in CA
Practice address
1134 Alhambra Ave.
Martinez, CA 94553-2353
Phone
(925) 426-0718
Fax
(925) 426-0718
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 8096 CA Primary

Addresses

Primary practice location

1134 Alhambra Ave.
Martinez, CA 94553-2353

Mailing address

1134 Alhambra Ave.
Martinez, CA 94553-2353
Phone (925) 426-0718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111111000332 CA Practitioner - Clinical Psychologist 5991979866 Practice locations: Martinez, CA; Pleasanton, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1134 Alhambra Ave
Martinez, CA 94553-2353
Phone (925) 426-0718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 8096CAMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1023186400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 ALHAMBRA AVE.",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945532353",
            "telephone_number": "925-426-0718",
            "fax_number": "925-426-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 ALHAMBRA AVE.",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945532353",
            "telephone_number": "925-426-0718",
            "fax_number": "925-426-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTOCK",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 8096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

Verify at the official NPI Registry.