Active NPI
Mark Ian Weinberger, PH.D., MPH
- Clinical Psychologist
- Tarrytown, NY
National Provider Identifier
1750617890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 018126
- Practice address
- 660 White Plains Rd
Suite 630
Tarrytown, NY 10591-5139 - Phone
- (914) 323-0345
- Fax
- (914) 219-3171
- NPI assigned
- Oct 25, 2009
- Last updated
- May 25, 2011
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 018126 | NY | Primary |
Addresses
Primary practice location
660 White Plains Rd
Suite 630
Tarrytown, NY 10591-5139
Mailing address
660 White Plains Rd
Suite 630
Tarrytown, NY 10591-5139
Phone (914) 323-0345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018126 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell University | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Tarrytown, NY
- NPI 1508296799
-
- Psychologist
- White Plains, NY
- NPI 1538352026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1750617890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WHITE PLAINS RD",
"address_2": "SUITE 630",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915139",
"telephone_number": "914-323-0345",
"fax_number": "914-219-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 WHITE PLAINS RD",
"address_2": "SUITE 630",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915139",
"telephone_number": "914-323-0345",
"fax_number": "914-219-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERGER",
"first_name": "MARK",
"middle_name": "IAN",
"name_prefix": "Dr.",
"credential": "PH.D., MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-25",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.