Active NPI
Ari Weinberg, PSY.D.
- Psychologist
- Ashland, OR
National Provider Identifier
1215308275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2705
- Practice address
- 149 Clear Creek Dr Unit 111
Ashland, OR 97520-1882 - Phone
- (541) 631-6151
- NPI assigned
- Oct 15, 2015
- Last updated
- Apr 22, 2020
- Sex
- Male
- 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 | 2705 | OR | Primary |
Addresses
Primary practice location
149 Clear Creek Dr Unit 111
Ashland, OR 97520-1882
Mailing address
2305 Ashland Street
Suite C #460
Ashland, OR 97520-3777
Phone (541) 631-6151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 11, 2024 through Dec 11, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2705 | OR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1215308275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 ASHLAND STREET",
"address_2": "SUITE C #460",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975203777",
"telephone_number": "541-631-6151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 CLEAR CREEK DR UNIT 111",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975201882",
"telephone_number": "541-631-6151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "ARI",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-15",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "2705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.