NPI Code Detail JSON Logo

1700929080 NPI number — DANIEL WEINER MA

NPI Number: 1700929080
Health Care Provider/Practitioner: DANIEL WEINER MA

Information about “1700929080” NPI (DANIEL WEINER MA) exists in 1700929080 in HTML format HTML  |  1700929080 in plain Text format TXT  |  1700929080 in PDF (Portable Document Format) PDF  |  1700929080 in an XML format XML  formats.

NPI Number : 1700929080 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700929080",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEINER",
    "FirstName": "DANIEL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "41 N MAIN ST",
    "SecondLineMailingAddress": "SUITE 303",
    "MailingAddressCityName": "WEST HARTFORD",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06107-1972",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-523-9473",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "41 N MAIN ST",
    "SecondLinePracticeLocationAddress": "SUITE 303",
    "PracticeLocationAddressCityName": "WEST HARTFORD",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06107-1972",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "860-677-0028",
    "PracticeLocationAddressFaxNumber": "860-461-1514",
    "EnumerationDate": "02/15/2007",
    "LastUpdateDate": "05/25/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "000361",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.