Individual provider Active NPI

Howard B. Weithorn, PSYCHOLOGIST

  • Psychologist
  • Beverly Hills, CA
National Provider Identifier
1437233053
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 4640 Issued in CA
Practice address
321 S Beverly Dr
Suite 'T'
Beverly Hills, CA 90212-4303
Phone
(310) 277-7477
Fax
(818) 788-5911
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 4640 CA Primary

Addresses

Primary practice location

321 S Beverly Dr
Suite 'T'
Beverly Hills, CA 90212-4303

Mailing address

321 S Beverly Dr
Suite 'T'
Beverly Hills, CA 90212-4303
Phone (310) 277-7477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071018000894 CA Practitioner - Clinical Psychologist 4789770975 Practice locations: Woodland Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20300 Ventura Blvd
Suite 315
Woodland Hills, CA 91364-0903
Phone (310) 277-7477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 4640CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mimi Shagaga Inc. PastSince Mar 19, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437233053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S BEVERLY DR",
            "address_2": "SUITE 'T'",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124303",
            "telephone_number": "310-277-7477",
            "fax_number": "818-788-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S BEVERLY DR",
            "address_2": "SUITE 'T'",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124303",
            "telephone_number": "310-277-7477",
            "fax_number": "818-788-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITHORN",
        "first_name": "HOWARD",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 4640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.