Jonathan Weinand, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

00683 Issued in IA

Practice address

301 W Burlington Ave
Fairfield, IA 52556-3242

Phone

(641) 472-1684

Fax

(641) 471-4609

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Nurse in the House, Inc.

  • Home Health Agency
  • Des Moines, IA
  • NPI 1598196040
  NPD (past)
• Optimae Lifeservices, Inc,

  • Community/Behavioral Health Agency
  • Fairfield, IA
  • NPI 1174520084
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1497797591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 GLENDALE DR",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526011502",
            "telephone_number": "319-752-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BURLINGTON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563242",
            "telephone_number": "641-472-1684",
            "fax_number": "641-471-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINAND",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "00683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232868",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Applied Kinesiology LLC
• Timothy Gerard Volm, D.O.
• Lila Ananda Wallace, LMFT
• Walmart Inc.
• Washington Eye Care Center
• Kayla Weirup, RPH
• Christian Andrew Wells, PTA
• Wellspring Chiropractic Clinic PLLC
• Donna Jean Williams, PT, CWS
• Jacob Wilson

• Clinical Psychologist in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.