Individual provider Active NPI

Marc Jonathan Weinstein, PSYD

  • Psychologist
  • Lutherville, MD
National Provider Identifier
1285640193
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
04074 Issued in MD
Practice address
2360 W Joppa Road
# 219
Lutherville, MD 21093-4624
Phone
(410) 769-8585
Fax
(410) 769-8585
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 04074 MD Primary

Addresses

Primary practice location

2360 W Joppa Road
# 219
Lutherville, MD 21093-4624

Mailing address

2360 W Joppa Rd
Suite 219
Lutherville, MD 21093-4624
Phone (410) 769-8585

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1285640193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 W JOPPA RD",
            "address_2": "SUITE 219",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934624",
            "telephone_number": "410-769-8585",
            "fax_number": "410-769-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 W JOPPA ROAD",
            "address_2": "# 219",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934624",
            "telephone_number": "410-769-8585",
            "fax_number": "410-769-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "MARC",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.