Active NPI
Rachel A Winer, M.D.
- Psychiatry Physician
- Portola Valley, CA
National Provider Identifier
1497014955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 126693
- Practice address
- 4370 Alpine Rd Ste 203
Portola Valley, CA 94028-7953 - Phone
- (650) 434-0017
- Fax
- (844) 480-1757
- NPI assigned
- May 3, 2012
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 126693 | CA | Primary |
Addresses
Primary practice location
4370 Alpine Rd Ste 203
Portola Valley, CA 94028-7953
Mailing address
4370 Alpine Rd Ste 203
Portola Valley, CA 94028-7953
Phone (650) 434-0017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 29, 2020 through May 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126693 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1497014955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4370 ALPINE RD STE 203",
"city": "PORTOLA VALLEY",
"state": "CA",
"postal_code": "940287953",
"telephone_number": "650-434-0017",
"fax_number": "844-480-1757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 ALPINE RD STE 203",
"city": "PORTOLA VALLEY",
"state": "CA",
"postal_code": "940287953",
"telephone_number": "650-434-0017",
"fax_number": "844-480-1757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINER",
"first_name": "RACHEL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-03",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "126693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portola Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.