Jan Meryl Weiner, PH.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

019054-1 Issued in NY

Practice address

137 E 36TH St
Suite #4
New York, NY 10016-3528

Phone

(212) 686-6886

NPI assigned

Oct 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1275817447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 27TH ST",
            "address_2": "APT 9P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169017",
            "telephone_number": "908-294-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E 36TH ST",
            "address_2": "SUITE #4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163528",
            "telephone_number": "212-686-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "JAN",
        "middle_name": "MERYL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "019054-1",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019054-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E Emilie Weiner, BCBA
• Elliot Weiner, PH.D.
• Elyse Dorre Weiner, M.D.
• Hallie Adrian Weiner, PSY.D.
• Holly H Weiner, CNM
• Joan Lori Weiner, LCSW
• Joshua Weiner, M.D.
• Larry J. Weiner, MD
• Lon Steven Weiner, MD
• Mark G Weiner, MD

• Cognitive & Behavioral Psychologist in New York, NY
• Providers in New York, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.