Individual provider Active NPI

Radhule B Weininger, PHD

  • Clinical Psychologist
  • Santa Barbara, CA
National Provider Identifier
1982779849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 13343 Issued in CA
Practice address
2565 Puesta del Sol Ste 201
Santa Barbara, CA 93105-2936
Phone
(805) 569-5408
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 13343 CA Primary

Addresses

Primary practice location

2565 Puesta del Sol Ste 201
Santa Barbara, CA 93105-2936

Mailing address

2565 Puesta del Sol Ste 201
Santa Barbara, CA 93105-2936
Phone (805) 569-5408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20031104000702 CA Practitioner - Clinical Psychologist 6204748502 Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2946 La Combadura Rd
Santa Barbara, CA 93105-2920
Phone (805) 569-5408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY 13343CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982779849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 PUESTA DEL SOL STE 201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052936",
            "telephone_number": "805-569-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 PUESTA DEL SOL STE 201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052936",
            "telephone_number": "805-569-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEININGER",
        "first_name": "RADHULE",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 13343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.