Michael Weinberg

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY10415 Issued in FL

Practice address

65 E Nasa Blvd Ste 101
Melbourne, FL 32901-1961

Phone

(321) 541-1972

Fax

(321) 372-1041

NPI assigned

Nov 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• Dr. Michael Weinberg Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Orlando Behavior Health Inc.

  • Psychologist
  • Melbourne, FL
  • NPI 1083204499
  NPD Authorized official
• Orlando Behavior Health Inc.

  • Behavior Analyst
  • Melbourne, FL
  • NPI 1427724939
  NPD Authorized official

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1851572598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E NASA BLVD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011961",
            "telephone_number": "321-541-1972",
            "fax_number": "321-372-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E NASA BLVD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011961",
            "telephone_number": "321-541-1972",
            "fax_number": "321-372-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-23",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002562",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005339L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS005339L",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CT",
            "license": "002562C",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "PA",
            "license": "PS005339L",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CT",
            "license": "002562",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DON'T KNOW",
            "identifier": "1851572598",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Melbourne",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Attleboro",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Melbourne",
            "address_1": "65 E Nasa Blvd Ste 101",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329011961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "WEINBERG",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wecker Chiropractic Center, P.a.
• Richard J. Wecker, DC
• Heather M Weeks, ARNP
• Amy Megan Wegener, APRN
• Denise Wegerif, LMHC, LMFT
• Sarah Weinstein, MSW
• Anna Wagner Weir, ARNP
• David S Weiser, MD
• James Weixler
• Chandler Franklin Welch, DMIN

• Psychologist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.