MEDICARE: BEN WEINSTEIN PHD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1740143247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEN WEINSTEIN PHD PLLC

Provider Business Mailing Address
First Line	:	2226 EASTLAKE AVE E # 1006
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-3419
Country	:	US
Telephone Number	:	626-800-6875
Fax Number	:	626-842-0230

Provider Business Practice Location Address
First Line	:	2571 E MONT LAKE PL E
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112
Country	:	US
Telephone Number	:	626-800-6875
Fax Number	:	626-842-0230

Authorized Official
Title or Position	:	PSYCHOLOGIST/OWNER
Name	:	DR. BENJAMIN JOSEPH WEINSTEIN
Credential	:	PHD
Telephone Number	:	626-800-6875

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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