Perry Weingart, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008383 Issued in IL

Practice address

405 Illinois Ave
Suite 2C
St Charles, IL 60174-2963

Phone

(630) 377-3535

Fax

(630) 530-9527

NPI assigned

Oct 5, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David Goodman PHD Psychologist LTDGroup PAC ID 7416909056, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• David Goodman, PH.D. Psychologist LTD.

  • Clinical Psychologist
  • St Charles, IL
  • NPI 1659485878
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1851643555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 ILLINOIS AVE",
            "address_2": "SUITE 2C",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742963",
            "telephone_number": "630-377-3535",
            "fax_number": "630-530-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ILLINOIS AVE",
            "address_2": "SUITE 2C",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742963",
            "telephone_number": "630-377-3535",
            "fax_number": "630-530-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINGART",
        "first_name": "PERRY",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Webb
• Cherry Dee Weber, PH.D.
• Emily Weiberg, LMT
• Ingo Weigold, LPC
• Roberta E Weiner, LCPC
• Kathleen Kelly Weisser, L.C.S.W.
• Well Thinking LLC
• Ann Weller, PSYD
• Jessica E Wells, PT
• Kelly J Wells, D.C., CSOM, DIPBBM

• Clinical Psychologist in St Charles, IL
• Providers in St Charles, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.

Verify at the official NPI Registry.