Individual provider Active NPI

Richard J Weintraub, MD

  • Psychiatry Physician
  • Wellesley Hills, MA
National Provider Identifier
1891869384
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33427 Issued in MA
Practice address
13 Eaton Court
2ND Floor
Wellesley Hills, MA 02481-7600
Phone
(781) 431-8686
Fax
(781) 431-0399
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 33427 MA Primary

Addresses

Primary practice location

13 Eaton Court
2ND Floor
Wellesley Hills, MA 02481-7600

Mailing address

13 Eaton Court
2ND Floor
Wellesley Hills, MA 02481-7600
Phone (781) 431-8686

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1891869384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 EATON COURT",
            "address_2": "2ND FLOOR",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024817600",
            "telephone_number": "781-431-8686",
            "fax_number": "781-431-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 EATON COURT",
            "address_2": "2ND FLOOR",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024817600",
            "telephone_number": "781-431-8686",
            "fax_number": "781-431-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "33427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

Verify at the official NPI Registry.