Provider Demographics
NPI:1790577104
Name:WEINSTEIN, ELLIOTT ROYAL (MPH, MS)
Entity type:Individual
Prefix:MR
First Name:ELLIOTT
Middle Name:ROYAL
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:MPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 W BELLFLOWER ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-1131
Mailing Address - Country:US
Mailing Address - Phone:347-853-3799
Mailing Address - Fax:
Practice Address - Street 1:1 BOWDOIN SQ FL 9
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2927
Practice Address - Country:US
Practice Address - Phone:617-724-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist