Active NPI
Raine Weiner, PHD
- Psychologist
- Rockville, MD
National Provider Identifier
1639395312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 02438
- Practice address
- 110 N Washington St
Suite 407
Rockville, MD 20850-2223 - Phone
- (301) 738-2078
- Fax
- (301) 738-1636
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 02438 | MD | Primary |
Addresses
Primary practice location
110 N Washington St
Suite 407
Rockville, MD 20850-2223
Mailing address
6208 Wagner LN
Bethesda, MD 20816-1029
Phone (301) 738-2078
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02438 | MD | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639395312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6208 WAGNER LN",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208161029",
"telephone_number": "301-738-2078",
"fax_number": "301-738-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N WASHINGTON ST",
"address_2": "SUITE 407",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208502223",
"telephone_number": "301-738-2078",
"fax_number": "301-738-1636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "RAINE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "02438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.