Active NPI
Maria Regina Weiner, LPE-I
- Psychologist
- Arkadelphia, AR
National Provider Identifier
1447579693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 80-20EI
- Practice address
- 2506 Country Club Rd
Arkadelphia, AR 71923-2930 - Phone
- (870) 230-8217
- Fax
- (870) 230-8201
- NPI assigned
- May 27, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 80-20EI | AR | Primary |
Addresses
Primary practice location
2506 Country Club Rd
Arkadelphia, AR 71923-2930
Mailing address
115 Tower LN
Arkadelphia, AR 71923-7190
Phone (870) 245-2563
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80-20EI | AR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Counseling and Psychodiagnostics, Inc. | Past | 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Arkadelphia, AR
- NPI 1902060684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1447579693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 TOWER LN",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719237190",
"telephone_number": "870-245-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2506 COUNTRY CLUB RD",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719232930",
"telephone_number": "870-230-8217",
"fax_number": "870-230-8201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "MARIA",
"middle_name": "REGINA",
"name_prefix": "Ms.",
"credential": "LPE-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-27",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AR",
"license": "80-20EI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arkadelphia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.