Active NPI
Cheryl Shinbaum Weinstein, PHD.
- Psychologist
- Boston, MA
National Provider Identifier
1225068547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- MA4836
- Practice address
- 82 Marlborough Street
Boston, MA 02116 - Phone
- (617) 327-3905
- Fax
- (617) 323-2810
- NPI assigned
- Jul 3, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Psychologist | 103T00000X | MA4836 | MA | Primary |
| Clinical Psychologist | 103TC0700X | MA4836 | MA |
Addresses
Primary practice location
82 Marlborough Street
Boston, MA 02116
Mailing address
82 Marlborough Street
Boston, MA 02116
Phone (617) 327-3905
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA4836 | MA | MD | Clinical Psychologist |
| 4836 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1225068547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 MARLBOROUGH STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "02116",
"telephone_number": "617-327-3905",
"fax_number": "617-323-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 MARLBOROUGH STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "02116",
"telephone_number": "617-327-3905",
"fax_number": "617-323-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTEIN",
"first_name": "CHERYL",
"middle_name": "SHINBAUM",
"name_prefix": "Dr.",
"credential": "PHD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "MA4836",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "MA4836",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.