Active NPI
Jay Weinstein, PH.D.
- Clinical Neuropsychologist
- Snellville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 2257
- Practice address
- 2795 W Main St Ste 25a
Snellville, GA 30078-3075 - Phone
- (770) 982-2352
- Fax
- (770) 982-8848
- NPI assigned
- May 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 2257 | GA | Primary |
Addresses
Primary practice location
2795 W Main St Ste 25a
Snellville, GA 30078-3075
Mailing address
2795 W Main St Ste 25a
Snellville, GA 30078-3075
Phone (770) 982-2352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000915582A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2795 W Main St
Suite 25a
Snellville, GA 30078-3075
Phone (770) 982-2352
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 575 | GA | MD | Pastoral Counselor |
| 2257 | GA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Clinical Health Group | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
5470 Meridian Mark Rd
Sandy Springs, GA 30342
Phone (404) 218-4912
2160 Fountain Dr
Ste 200
Snellville, GA 30078
Phone (770) 982-1111
2795 W Main St
Ste 25A
Snellville, GA 30078
Phone (770) 982-2352
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Neuropsychologist
- Snellville, GA
- NPI 1194757492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1336358688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2795 W MAIN ST STE 25A",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300783075",
"telephone_number": "770-982-2352",
"fax_number": "770-982-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2795 W MAIN ST STE 25A",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300783075",
"telephone_number": "770-982-2352",
"fax_number": "770-982-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTEIN",
"first_name": "JAY",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "GA",
"license": "2257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000915582A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.