Individual provider Active NPI

Elizabeth Weinberger, PH.D., M.P.H.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1043279912
Registry record updated Oct 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY8455 Issued in CA
Practice address
2001 S Barrington Ave
Ste 301
Los Angeles, CA 90025-5379
Phone
(310) 828-3624
Fax
(310) 820-8839
NPI assigned
Mar 20, 2006
Last updated
Oct 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY8455 CA Primary

Addresses

Primary practice location

2001 S Barrington Ave
Ste 301
Los Angeles, CA 90025-5379

Mailing address

2001 S Barrington Ave
Ste 301
Los Angeles, CA 90025-5379
Phone (310) 828-3624

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
I20101221000517 CA Practitioner - Clinical Psychologist 8820286636 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 S Barrington Ave
Suite 301
Los Angeles, CA 90025-5379
Phone (310) 828-3624

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY8455CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aap Dan Litov PHD CurrentSince Dec 15, 2019 Accepting new patients

Locations

2001 S Barrington Ave
Ste 301
West Los Angeles, CA 90025
Phone (310) 828-3624

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570233600000",
    "number": "1043279912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE",
            "address_2": "STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255379",
            "telephone_number": "310-828-3624",
            "fax_number": "310-820-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE",
            "address_2": "STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255379",
            "telephone_number": "310-828-3624",
            "fax_number": "310-820-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERGER",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2019-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.