Derek Logan Weintraub, M.S., C.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1910 82ND Ave Ste 106
Vero Beach, FL 32966-6991

Phone

(772) 492-9841

NPI assigned

Dec 11, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1871968156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 82ND AVE STE 106",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329666991",
            "telephone_number": "772-492-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 82ND AVE STE 106",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329666991",
            "telephone_number": "772-492-9841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 4th St",
            "address_purpose": "LOCATION",
            "city": "Key West",
            "state": "FL",
            "postal_code": "330403707",
            "country_code": "US",
            "telephone_number": "305-434-7660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "DEREK",
        "middle_name": "LOGAN",
        "name_prefix": "Mr.",
        "credential": "M.S., C.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-11",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Weeden, MD
• Frederick M Weeks, M.D.
• Margaret W Weeks, MD
• Sharon Weems
• Michael Barry Wein, M.D.
• Benjamin P Weiss, O.D.
• Lisa M Weiss, PT, DPT, ATC, CSCS
• Hannah Weisse
• Katherine Anne Welch, N.D., APN, F.N.P.-CS
• Wellness for the Treasure Coast

• Mental Health Counselor in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.