Active NPI
Sheldon Weintrob
- Counseling Psychologist
- Lake Orion, MI
National Provider Identifier
1265927131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301006784
- Practice address
- 1375 S Lapeer Rd
Lake Orion, MI 48360-1421 - Phone
- (248) 693-4000
- NPI assigned
- Jun 24, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301006784 | MI | Primary |
Addresses
Primary practice location
1375 S Lapeer Rd
Lake Orion, MI 48360-1421
Mailing address
4655 Laurel Club Cir
West Bloomfield, MI 48323-2949
Phone (248) 910-6107
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529798400000",
"number": "1265927131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4655 LAUREL CLUB CIR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232949",
"telephone_number": "248-910-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 S LAPEER RD",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483601421",
"telephone_number": "248-693-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINTROB",
"first_name": "SHELDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-24",
"last_updated": "2018-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301006784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Orion, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.