Robert James Weniger, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2035 Issued in OR

Practice address

515 Villa Rd
Newberg, OR 97132-1832

Phone

(503) 819-7969

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

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.

• Northwest Neurohealth LLC

  • Clinical Neuropsychologist
  • Newberg, OR
  • NPI 1649640335
  NPD (past) Authorized official
• Luann Foster PSYD LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newberg, OR
  • NPI 1083433221
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1699875070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321832",
            "telephone_number": "503-819-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321832",
            "telephone_number": "503-819-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENIGER",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "2035",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "OR",
            "license": "2035",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Lynn Weid, CNM
• Weingard Wellness LLC (Kismet Chiropractic)
• Ty Richard Weingard, DC
• Kathleen M Weiss, MD
• Wellness Community Nursing LLC
• Tara Weston, LMT
• Laura Wheaton, M.S.
• Viva Wheaton, PSY.D.
• Amethyst White, FNP-C
• Kenneth A Whittaker, MD

• Clinical Neuropsychologist in Newberg, OR
• Providers in Newberg, OR by specialty
• Clinical Neuropsychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.