Active NPI
Bernard Larry Weinstein, MD
- Psychiatry Physician
- Salt Lake City, UT
National Provider Identifier
1417998659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA07351000
- Practice address
- 4021 S 700 E
Suite 300
Salt Lake City, UT 84107-2192 - Phone
- (800) 328-3035
- Fax
- (801) 284-6810
- NPI assigned
- Jun 9, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA07351000 | NJ | Primary |
Addresses
Primary practice location
4021 S 700 E
Suite 300
Salt Lake City, UT 84107-2192
Mailing address
Maaleh Oren 12, P.O. Box 1182
Efrat, NONE 90435
IL
Phone 97229933686
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07351000 | NJ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417998659",
"addresses": [
{
"country_code": "IL",
"country_name": "Israel",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "MAALEH OREN 12, P.O. BOX 1182",
"city": "EFRAT",
"state": "NONE",
"postal_code": "90435",
"telephone_number": "97229933686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4021 S 700 E",
"address_2": "SUITE 300",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841072192",
"telephone_number": "800-328-3035",
"fax_number": "801-284-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTEIN",
"first_name": "BERNARD",
"middle_name": "LARRY",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA07351000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.