Individual provider Active NPI

Cindy L Breitman, PHD

  • Clinical Neuropsychologist
  • New York, NY
National Provider Identifier
1245290881
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
014513 Issued in NY
Practice address
1430 Broadway
Suite 304
New York, NY 10018-3308
Phone
(212) 840-8410
Fax
(212) 840-8415
NPI assigned
Mar 27, 2006
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 014513 NY Primary
Clinical Psychologist 103TC0700X 014513 NY

Addresses

Primary practice location

1430 Broadway
Suite 304
New York, NY 10018-3308

Mailing address

1430 Broadway
Suite 304
New York, NY 10018-3308
Phone (212) 840-8410

Other identifiers 2

IdentifierTypeStateIssuer
P2577625OtherNYOXFORD
02511695MedicaidNY

Other names 1

  • Dr. Cindy L Weiner Former name

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)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral and Neuropsychological Consultants, LLP Clinical CurrentSince Nov 1, 2002 Accepting new patients
Behavioral and Neuropsychological Consultants, LLP Clinical Neuropsychologist Past Accepting new patients

Locations

1430 Broadway
Rm 304
New York, NY 10018
Phone (212) 840-8410

304 Park Ave S
Fl 11
New York, NY 10010
Phone (212) 590-2350

Organizations & group practices 2

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1245290881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 BROADWAY",
            "address_2": "SUITE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100183308",
            "telephone_number": "212-840-8410",
            "fax_number": "212-840-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 BROADWAY",
            "address_2": "SUITE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100183308",
            "telephone_number": "212-840-8410",
            "fax_number": "212-840-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITMAN",
        "first_name": "CINDY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "014513",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014513",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2577625",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02511695",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "WEINER",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 2, 2019; 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.