Active NPI
Steven L. Weinstein, M.D.
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1124195599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036097394
- Practice address
- 4101 N Ravenswood Ave
Chicago, IL 60613-2193 - Phone
- (773) 537-3677
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036097394 | IL | Primary |
Addresses
Primary practice location
4101 N Ravenswood Ave
Chicago, IL 60613-2193
Mailing address
4101 N Ravenswood Ave
Chicago, IL 60613-2193
Phone (773) 537-3677
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036097394 | Medicaid | IL | |
| 21623022 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036097394 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard Brown Health Center | Current | Accepting new patients | |
| Howard Brown Health Center | Current | Accepting new patients | |
| Howard Brown Health Center | Current | Accepting new patients | |
| Steven L Weinstein, MD LTD | Psychiatry | Past | Accepting new patients |
| Tapestry 360 Health | Past | Accepting new patients | |
| Howard Brown Health Center | Past | Accepting new patients |
Locations
641 W 63rd St
Chicago, IL 60621
Phone (312) 413-4070
4025 N Sheridan Rd
Chicago, IL 60613
Phone (773) 388-1800
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1306048632
-
- Psychiatry Physician
- Chicago, IL
- NPI 1922176213
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1255791331
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1427523125
-
- Health Educator
- Chicago, IL
- NPI 1811824121
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1407981392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1124195599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 N RAVENSWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132193",
"telephone_number": "773-537-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 N RAVENSWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132193",
"telephone_number": "773-537-3677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTEIN",
"first_name": "STEVEN",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036097394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036097394",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "21623022",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.