Active NPI
Charles Jay Weingarten, PHD
- Psychologist
- Sherman Oaks, CA
National Provider Identifier
1649255696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY4170
- Practice address
- 13400 Riverside Dr
#310
Sherman Oaks, CA 91423-2544 - Phone
- (818) 788-7153
- Fax
- (818) 386-9084
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- 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 | PSY4170 | CA | Primary |
Addresses
Primary practice location
13400 Riverside Dr
#310
Sherman Oaks, CA 91423-2544
Mailing address
13400 Riverside Dr
#310
Sherman Oaks, CA 91423-2544
Phone (818) 788-7153
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 |
|---|---|---|---|
| 4170 | CA | MD | Professional Counselor |
| PSY4170 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232668800000",
"number": "1649255696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13400 RIVERSIDE DR",
"address_2": "#310",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232544",
"telephone_number": "818-788-7153",
"fax_number": "818-386-9084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 RIVERSIDE DR",
"address_2": "#310",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232544",
"telephone_number": "818-788-7153",
"fax_number": "818-386-9084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINGARTEN",
"first_name": "CHARLES",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2009-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY4170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.