Individual provider Active NPI

Jonathan Weinberg, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1205051513
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-4149 Issued in IL
Practice address
2518 N Lincoln Ave
#204
Chicago, IL 60614-2782
Phone
(773) 935-5912
NPI assigned
Apr 13, 2007
Last updated
Aug 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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 071-4149 IL Primary

Addresses

Primary practice location

2518 N Lincoln Ave
#204
Chicago, IL 60614-2782

Mailing address

2405 N Sheffield Ave
P.O. Box #1054
Chicago, IL 60614-8097
Phone (773) 935-5912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-4149ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Motivations Inc. Past Accepting new patients
Chicago Psychological Health Center, LLC Clinical PastSince Apr 7, 2015 Accepting new patients

Organizations & group practices 3

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1205051513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 N SHEFFIELD AVE",
            "address_2": "P.O. BOX #1054",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606148097",
            "telephone_number": "773-935-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 N LINCOLN AVE",
            "address_2": "#204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142782",
            "telephone_number": "773-935-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-4149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.