Jack - Wiener, L.P., NCPSYA

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

000453 Issued in NY

Practice address

165 West 66TH St
98 Riverside Drive, Suite 1a
New York, NY 10023-1002

Phone

(212) 874-7105

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154542314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 RIVERSIDE DR STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245323",
            "telephone_number": "212-724-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WEST 66TH ST",
            "address_2": "98 RIVERSIDE DRIVE, SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100231002",
            "telephone_number": "212-874-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "JACK",
        "middle_name": "-",
        "name_prefix": "Mr.",
        "credential": "L.P., NCPSYA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "000453",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dan Wiener, MD
• Diana Nina Wiener, LCSW, MSW
• Edith M Wiener, LCSW
• Ethan Wiener, M.D.
• Ilona Wiener, M.D.
• Joanna Wiener
• Leib Wiener
• Lila Grace Wiener, LMSW
• Mark Wiener, M.D.
• Melissa Wiener, M.D.

• Psychoanalyst in New York, NY
• Providers in New York, NY by specialty
• Psychoanalyst in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.