Nina Noel Weisenreder, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

017248 Issued in NY

Practice address

1234 W Broadway
Suite 1
Hewlett, NY 11557-1929

Phone

(516) 410-0814

NPI assigned

Jul 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1356572275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 W BROADWAY",
            "address_2": "SUITE 1",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571929",
            "telephone_number": "516-410-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 W BROADWAY",
            "address_2": "SUITE 1",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571929",
            "telephone_number": "516-410-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENREDER",
        "first_name": "NINA",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "017248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Hewlett, NY
• Providers in Hewlett, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.