Active NPI
Sheldon Ray Weinberg, PH.D.
- Clinical Psychologist
- Bethesda, MD
National Provider Identifier
1225240153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 02759
- Practice address
- 7721 Maryknoll Ave
Bethesda, MD 20817-4828 - Phone
- (301) 320-9008
- NPI assigned
- May 4, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810002616 | VA | |
| Clinical Psychologist | 103TC0700X | 02759 | MD | Primary |
| Health Service Psychologist | 103TH0100X | 02759 | MD |
Addresses
Primary practice location
7721 Maryknoll Ave
Bethesda, MD 20817-4828
Mailing address
7721 Maryknoll Ave
Bethesda, MD 20817-4828
Phone (301) 320-9008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219851700 | Medicaid | MD |
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 |
|---|---|---|---|
| 0810002616 | VA | MD | Psychologist |
| 02759 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1225240153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7721 MARYKNOLL AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208174828",
"telephone_number": "301-320-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7721 MARYKNOLL AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208174828",
"telephone_number": "301-320-9008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "SHELDON",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810002616",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "02759",
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "MD",
"license": "02759",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219851700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.