Jonathan David Weinberg, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

45270 Issued in MA

Practice address

328 Broadway
Cambridge, MA 02139-1840

Phone

(617) 497-6715

Fax

(781) 863-0316

NPI assigned

Oct 25, 2006

Last updated

Nov 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1225113749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 BROADWAY",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391840",
            "telephone_number": "617-497-6715",
            "fax_number": "781-863-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 BROADWAY",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391840",
            "telephone_number": "617-497-6715",
            "fax_number": "781-863-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "45270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3026311",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "Q04325",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John David Wechter, ED.D.
• Lindsay E Wehmer, PT, DPT
• Stella Wei, LMHC
• Rachel Sarah Weidenfeld
• Weigel Physical Therapy LLC
• Marnie Alison Weinberg, MS, CCC, SLP
• Caron C. Weiner, MS/CCC-A
• Molly Casey Weiner, LMHC
• Abigail Heller Weinreb
• Pamela Weinstein-Molloy

• Psychiatry Physician in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.