Individual provider Active NPI

Bryan Sydney Weinstein, D.O.

  • Psychiatry Physician
  • Livonia, MI
National Provider Identifier
1295773034
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5101011323 Issued in MI
Practice address
20010 Farmington Rd
Livonia, MI 48152-1408
Phone
(248) 471-7171
Fax
(248) 471-1212
NPI assigned
Jun 3, 2006
Last updated
Jun 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5101011323 MI Primary

Addresses

Primary practice location

20010 Farmington Rd
Livonia, MI 48152-1408

Mailing address

20010 Farmington Rd
Livonia, MI 48152-1408
Phone (248) 471-7171

Other identifiers 1

IdentifierTypeStateIssuer
26 5820587 4OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060116000085 MI Practitioner - PsychiatryPractitioner - NeuropsychiatryPractitioner - Pain ManagementPractitioner - Addiction Medicine 5597658278 Reassigns benefits to 1 organization
I20260611004824 FL Practitioner - Psychiatry 5597658278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Neuropsychiatry, Pain Management
Education
Michigan State University College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Psychiatric Services, P.L.C.Group PAC ID 9234151366, 11 clinicians

Practice addresses (Care Compare)

20010 Farmington Rd
Livonia, MI 48152-1408
Phone (248) 471-7171

3301 SW 34TH Cir
Suite 301
Ocala, FL 34474-6615
Phone (248) 471-7171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101011323MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Psychiatric Services Psychiatry Current Accepting new patients
Anodyne Healthcare PLLC Past Accepting new patients
Psychiatric Support Services, PLLC Past Accepting new patients
Integrated Health Group, P.C. Past Accepting new patients
Specialists in Psychiatric Pharmacology PLLC Psychiatry PastSince Apr 26, 2000 Accepting new patients
Progressive Behavioral Home Health Care PLC Psychiatry Past Accepting new patients
Life Skills Residential, LLC PastSince Mar 5, 2021 Accepting new patients

Locations

20010 Farmington Rd
Livonia, MI 48152
Phone (248) 471-7171

Organizations & group practices 9

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1295773034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20010 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521408",
            "telephone_number": "248-471-7171",
            "fax_number": "248-471-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20010 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521408",
            "telephone_number": "248-471-7171",
            "fax_number": "248-471-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "BRYAN",
        "middle_name": "SYDNEY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101011323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26 5820587 4",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.