Active NPI
Joan Lori Weiner, LCSW
- Psychoanalyst
- New York, NY
National Provider Identifier
1053520387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- R035670-1
- Practice address
- 154 W 76TH St
#4
New York, NY 10023-8420 - Phone
- (212) 595-9788
- Fax
- (212) 877-5040
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | R035670-1 | NY | Primary |
Addresses
Primary practice location
154 W 76TH St
#4
New York, NY 10023-8420
Mailing address
27 W 72ND St
#1607
New York, NY 10023-3498
Phone (212) 877-5040
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: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 14, 2019 through Feb 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R035670-1 | NY | MD | Psychoanalyst |
| 035670 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053520387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 W 72ND ST",
"address_2": "#1607",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100233498",
"telephone_number": "212-877-5040",
"fax_number": "212-877-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 W 76TH ST",
"address_2": "#4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100238420",
"telephone_number": "212-595-9788",
"fax_number": "212-877-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "JOAN",
"middle_name": "LORI",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "R035670-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.