Individual provider Active NPI

Daniel Weintraub, PHD

  • Psychologist
  • Newark, DE
National Provider Identifier
1194247254
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
B1-0000360 Issued in DE
Practice address
100 Commerce Dr Ste 300
Newark, DE 19713-2878
Phone
(302) 224-1400
Fax
(302) 224-1402
NPI assigned
Jul 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X B1-0000360 DE Primary
Clinical Psychologist 103TC0700X B1-0000360 DE

Addresses

Primary practice location

100 Commerce Dr Ste 300
Newark, DE 19713-2878

Mailing address

100 Commerce Dr Ste 300
Newark, DE 19713-2878
Phone (302) 224-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20171114000222 DE Practitioner - Clinical Psychologist 7810253648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Temple University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Atlantic Behavioral Health, LLCGroup PAC ID 3375620016, 88 clinicians

Practice addresses (Care Compare)

910 S Chapel St
Suite 102
Newark, DE 19713-3468
Phone (302) 224-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
B1-0000360DEMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Behavioral Health, LLC Clinical CurrentSince Sep 10, 2017 Accepting new patients

Locations

24077 Country Living Rd
Ste 2
Millsboro, DE 19966
Phone (302) 772-5132

100 Commerce Dr
Ste 300
Newark, DE 19713
Phone (302) 530-1743

910 S Chapel St
Ste 102
Newark, DE 19713
Phone 3022241400 ext. 614

100 Commerce Dr
Ste 100
Newark, DE 19713
Phone (302) 575-8240

3521 Silverside Rd
Ste 2F1
Wilmington, DE 19810
Phone (302) 478-5650

4420 Limestone Rd
Ste 307
Wilmington, DE 19808
Phone (253) 254-5911

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.danweintraub@148542.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1194247254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COMMERCE DR STE 300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132878",
            "telephone_number": "302-224-1400",
            "fax_number": "302-224-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMERCE DR STE 300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132878",
            "telephone_number": "302-224-1400",
            "fax_number": "302-224-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B1-0000360",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0000360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.