Individual provider Active NPI

Robert H Weiner, PH.D.

  • Clinical Psychologist
  • Richardson, TX
National Provider Identifier
1669562799
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23010 Issued in TX
Practice address
3400 N Central Expy Ste 110-283
Richardson, TX 75080-0039
Phone
(214) 503-1441
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 23010 TX Primary

Addresses

Primary practice location

3400 N Central Expy Ste 110-283
Richardson, TX 75080-0039

Mailing address

2300 McDermott Rd 200-389
Plano, TX 75025-7016
Phone (214) 503-1441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000467 TX Practitioner - Clinical Psychologist 6608896162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2300 McDermott Rd
Plano, TX 75025-7016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
23010TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert H Weiner, PH.D. PC Clinical CurrentSince Jan 1, 1995 Accepting new patients

Locations

2300 McDermott Rd
#200389
Plano, TX 75025
Phone (214) 503-1441

610 Old Campbell Rd
Ste 112
Richardson, TX 75080
Phone (214) 503-1441

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1669562799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MCDERMOTT RD 200-389",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750257016",
            "telephone_number": "214-503-1441",
            "fax_number": "214-594-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N CENTRAL EXPY STE 110-283",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750800039",
            "telephone_number": "214-503-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.