Active NPI
Beth Andrea Weinberg, PHD
- Clinical Psychologist
- Hollywood, FL
National Provider Identifier
1710262589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY8206
- Practice address
- 3440 Hollywood Blvd.
Suite 415
Hollywood, FL 33021 - Phone
- (305) 587-3961
- NPI assigned
- Oct 12, 2011
- Reactivated
- Apr 28, 2017
- Last updated
- Dec 8, 2017
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY8206 | FL | Primary |
Addresses
Primary practice location
3440 Hollywood Blvd.
Suite 415
Hollywood, FL 33021
Mailing address
201 East Sample Rd.
Quantum Laboratories at BHN Memory Center
Deerfield Beach, FL 33064
Phone (305) 587-3961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1785 Route 9
Halfmoon, NY 12065-2449
Phone (518) 238-6028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024377 | NY | MD | Dental Hygienist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Saratoga Springs, NY
- NPI 1841812310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512691200000",
"number": "1710262589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 EAST SAMPLE RD.",
"address_2": "QUANTUM LABORATORIES AT BHN MEMORY CENTER",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "33064",
"telephone_number": "305-587-3961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 HOLLYWOOD BLVD.",
"address_2": "SUITE 415",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33021",
"telephone_number": "305-587-3961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "BETH",
"middle_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-12",
"last_updated": "2017-12-08",
"deactivation_date": "2013-03-29",
"reactivation_date": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.