Organization Active NPI

Martin Weinrauch P.a.

  • Prescribing (Medical) Psychologist
  • Fayetteville, NC
National Provider Identifier
1871797415
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
200001407621 Issued in NC
Legal business name
MARTIN WEINRAUCH P.A.
Practice address
2850 Village Dr Ste 104
Fayetteville, NC 28304-3864
Phone
(910) 483-4687
Fax
(910) 483-4968
NPI assigned
Jun 14, 2007
Last updated
Jun 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Martin Howard Weinrauch, M.D.NPI 1548211337
Title
Owner
Phone
(910) 483-4687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 200001407621 NC Primary

Addresses

Primary practice location

2850 Village Dr Ste 104
Fayetteville, NC 28304-3864

Mailing address

2850 Village Dr Ste 104
Fayetteville, NC 28304-3864
Phone (910) 483-4687

National Provider Directory

National Provider Directory

Locations

2850 Village Dr
Ste 104
Fayetteville, NC 28304
Phone (910) 483-4687

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1871797415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 VILLAGE DR STE 104",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043864",
            "telephone_number": "910-483-4687",
            "fax_number": "910-483-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 VILLAGE DR STE 104",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043864",
            "telephone_number": "910-483-4687",
            "fax_number": "910-483-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN WEINRAUCH P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "WEINRAUCH",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-483-4687",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NC",
            "license": "200001407621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.