Steven Mark Weiner, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY01139 Issued in MO

Practice address

10420 Old Olive St Rd
Suite 209
Creve Coeur, MO 63141-5938

Phone

(314) 567-9321

Fax

(314) 567-7355

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Independence Center

  • Mental Illness Community Based Residential Treatment Facility
  • Saint Louis, MO
  • NPI 1174669006
  NPD (past)
• Independence Center

  • Mental Illness Community Based Residential Treatment Facility
  • Saint Louis, MO
  • NPI 1780720680
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366476459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12024 SPRUCE HAVEN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464822",
            "telephone_number": "314-872-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 OLD OLIVE ST RD",
            "address_2": "SUITE 209",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415938",
            "telephone_number": "314-567-9321",
            "fax_number": "314-567-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PY01139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27247",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie M Webb, FNP
• Heidi Anne Webking
• Sterling Webster, PLPC
• Jaron Ryah Wedding, D.D.S., M.S.D.
• Lauren Weder
• Evonne Weinhaus, LCSW
• Leonard B Weinstock, MD
• Howard Ivan Weiss, M.D.
• West County Diabetes and Endocrinology Center PC
• West County Physicians, LLC

• Psychologist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Psychologist in Missouri

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.