Active NPI
Wendy A Weiner, PH.D.
- Psychologist
- Bryn Mawr, PA
National Provider Identifier
1164582888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS008665L
- Practice address
- 26 Summit Grove Ave
Ste 207
Bryn Mawr, PA 19010-3230 - Phone
- (610) 825-1444
- Fax
- (610) 358-4985
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS008665L | PA | Primary |
Addresses
Primary practice location
26 Summit Grove Ave
Ste 207
Bryn Mawr, PA 19010-3230
Mailing address
121 Knollwood CT
Aston, PA 19014-1259
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0165984000 | Other | PA | BLUE CROSS |
| 378351 | Other | PA | BLUE SHIELD |
| 7149479 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070315000157 | PA | Practitioner - Clinical Psychologist | 1355444118 | Practice locations: Bryn Mawr, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS008665L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1164582888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 KNOLLWOOD CT",
"city": "ASTON",
"state": "PA",
"postal_code": "190141259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 SUMMIT GROVE AVE",
"address_2": "STE 207",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103230",
"telephone_number": "610-825-1444",
"fax_number": "610-358-4985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "WENDY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS008665L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0165984000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "378351",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7149479",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.