Active NPI
Yaakov Weiner
- Psychologist
- New York, NY
National Provider Identifier
1285250035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 023655
- Practice address
- 215 W 108TH St Apt B2
New York, NY 10025-2982 - Phone
- (347) 316-8859
- NPI assigned
- Jun 17, 2020
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 023655 | NY | Primary |
Addresses
Primary practice location
215 W 108TH St Apt B2
New York, NY 10025-2982
Mailing address
215 W 108TH St Apt B2
New York, NY 10025-2982
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drweiner@weinerpsych.com |
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 |
|---|---|---|---|
| 023655 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1285250035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W 108TH ST APT B2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100252982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W 108TH ST APT B2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100252982",
"telephone_number": "347-316-8859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "YAAKOV",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-17",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "023655",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drweiner@weinerpsych.com",
"affiliation": "N",
"endpointDescription": "businuess email",
"address_1": "215 W 108th St Apt B2",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100252982",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.