Vanessa Camille Weinbach, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3681 Issued in CT

Practice address

6 Riverfield Dr
Westport, CT 06880-1306

Phone

(203) 343-4208

Fax

(203) 350-8286

NPI assigned

Jul 2, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 20, 2017 through Nov 20, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Vanessa Weinbach LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westport, CT
  • NPI 1730659897
  NPD Authorized official

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1073825394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RIVERFIELD DR",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068801306",
            "telephone_number": "203-343-4208",
            "fax_number": "203-350-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 RIVERFIELD DR",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068801306",
            "telephone_number": "203-343-4208",
            "fax_number": "203-350-8286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 Post Rd East",
            "address_2": "2nd Fl",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "06880",
            "country_code": "US",
            "telephone_number": "203-343-4208",
            "fax_number": "203-350-8286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINBACH",
        "first_name": "VANESSA",
        "middle_name": "CAMILLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22525",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "3681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Watson, LMFT
• Lisa Wayne Upton
• Andrea Z Wegner, PHD
• James Thomas Wegner, PHD
• Corey Weibel, PT
• Susan Lynn Weingarten, LCSW
• Renata Weissberg, MD
• Carol Weitzman, MD
• Lisa Rachel Weitzman, M.A.
• Risa Jill Werner, LCSW

• Clinical Psychologist in Westport, CT
• Providers in Westport, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.