Individual provider Active NPI

Matthew Weinlander, M.D.

  • Psychiatry Physician
  • Thiensville, WI
National Provider Identifier
1043692700
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
70765-20 Issued in WI
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
70765-20WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Milwaukee Psychiatry SC Psychiatry CurrentSince Oct 23, 2022 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.

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

Sources for this page

Verify at the official NPI Registry.