Jolie Weingeroff, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS01616 Issued in RI

Practice address

382 Thayer St
Providence, RI 02906-1558

Phone

(401) 330-5882

Fax

(401) 226-0137

NPI assigned

Jan 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jolie Issa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Center for Dynamic and Behavioral Therapy LLC

  • Clinical Psychologist
  • Providence, RI
  • NPI 1790207876
  NPD

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1649418005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S ANGELL ST # 405",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065206",
            "telephone_number": "401-330-5882",
            "fax_number": "401-226-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 THAYER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061558",
            "telephone_number": "401-330-5882",
            "fax_number": "401-226-0137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Lloyd Ave # 1",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029061553",
            "country_code": "US",
            "telephone_number": "401-330-5882 x1",
            "fax_number": "401-226-0137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 W 58th St Ste 502",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191819",
            "country_code": "US",
            "telephone_number": "212-653-8894 x1",
            "fax_number": "917-793-4112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINGEROFF",
        "first_name": "JOLIE",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019636",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLIE",
            "last_name": "ISSA",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Jane Weil, M.D.
• Marcus Weimar, PA
• Marc S Weinberg, M.D.
• Kathryn E Weiner, LICSW
• Lewis R Weiner, MD
• Lauren M Weinstock, PHD
• Martin A Weinstock, MD,PHD
• Melissa A Weintraub
• James Weintrub, M.D.
• Emmi Weipert, MASTERS

• Clinical Psychologist in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.