Active NPI
Matthew Weinlander, M.D.
- Psychiatry Physician
- Thiensville, WI
National Provider Identifier
1043692700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 70765-20
- Practice address
- 122 Green Bay Rd Ste 101
Thiensville, WI 53092-1624 - Phone
- (608) 622-7776
- Fax
- (857) 216-6675
- NPI assigned
- Jun 18, 2015
- Last updated
- Feb 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301107426 | MI | |
| Psychiatry Physician | 2084P0800X | 70765-20 | WI | Primary |
Addresses
Primary practice location
122 Green Bay Rd Ste 101
Thiensville, WI 53092-1624
Mailing address
122 Green Bay Rd Ste 101
Thiensville, WI 53092-1624
Phone (608) 622-7776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 10, 2019 through Jul 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70765-20 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milwaukee Psychiatry SC | Psychiatry | Current | Accepting new patients |
Locations
827 N Cass St
#9
Milwaukee, WI 53202
Phone (414) 368-9024
122 Green Bay Rd
Ste 101
Thiensville, WI 53092
Phone (608) 622-7776
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Thiensville, WI
- NPI 1124682174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1043692700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 GREEN BAY RD STE 101",
"city": "THIENSVILLE",
"state": "WI",
"postal_code": "530921624",
"telephone_number": "608-622-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 GREEN BAY RD STE 101",
"city": "THIENSVILLE",
"state": "WI",
"postal_code": "530921624",
"telephone_number": "608-622-7776",
"fax_number": "857-216-6675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINLANDER",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-18",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301107426",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "70765-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thiensville, WI
- Village of Thiensville (Village of Thiensville Fire Dept)
- Walgreen Co (Walgreens #04884)
- Shirley Mae Warren
- Lakeeta Watts, DMN
- Michael James Weidman II, MSW, LCSW, SAC
- Carisa Wendt, BCBA
- Kayla Wetzel
- Wisconsin Center for Regenerative and Cell Medicine, LLC (Orthotic WI MD)
- Wisconsin Orthopedic Rehabilitation Consultants, Inc. (Fyzical Therapy & Balance Centers)
- Cherie Wong
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.