Provider Demographics
NPI:1285700609
Name:ALBERT, JODI WEINSTEIN (PHD)
Entity type:Individual
Prefix:DR
First Name:JODI
Middle Name:WEINSTEIN
Last Name:ALBERT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JODI
Other - Middle Name:BETH
Other - Last Name:WEINSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:8901 ROCKVILLE PIKE BLDG 19
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-0500
Mailing Address - Fax:
Practice Address - Street 1:8901 ROCKVILLE PIKE BLDG 19
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2298103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
46008OtherCIGNA PROVIDER NO.
A5270001OtherBC BS PROVIDER NO.