Active NPI
Brian Weir, PSYD
- Clinical Psychologist
- Hinsdale, IL
National Provider Identifier
1073049508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.009461
- Practice address
- 23 N Lincoln St
Hinsdale, IL 60521-3436 - Phone
- (773) 606-1871
- NPI assigned
- May 3, 2017
- Last updated
- May 3, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.009461 | IL | Primary |
Addresses
Primary practice location
23 N Lincoln St
Hinsdale, IL 60521-3436
Mailing address
124 N Evergreen Ave
Elmhurst, IL 60126-2611
Phone (773) 606-1871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.009461 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1073049508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 N EVERGREEN AVE",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262611",
"telephone_number": "773-606-1871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 N LINCOLN ST",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213436",
"telephone_number": "773-606-1871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIR",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-03",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.009461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.