Jesse L. Viner, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036.0549585 Issued in IL

Practice address

1560 Sherman Ave.
Suite 400
Evanston, IL 60201-4803

Phone

(847) 869-1500

Fax

(847) 869-1515

NPI assigned

Sep 4, 2006

Sex

Male

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

Enrolled in IL

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 1

Specialty

Psychiatry

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Synchrony Brain Health LLC

  • Community/Behavioral Health Agency
  • Evanston, IL
  • NPI 1053900779
  Medicare reassignment NPD
• Yellowbrick

  • Community/Behavioral Health Agency
  • Evanston, IL
  • NPI 1770752297
  NPD (past) Authorized official

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1427150960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE.",
            "address_2": "SUITE 400",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014803",
            "telephone_number": "847-869-1500",
            "fax_number": "847-869-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE.",
            "address_2": "SUITE 400",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014803",
            "telephone_number": "847-869-1500",
            "fax_number": "847-869-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINER",
        "first_name": "JESSE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "36-54958",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.0549585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flor Villanueva-Winter, DT
• Anais Villaruz, RD
• Roxana Dennise Villatoro
• Emily Villegas
• Terry Ann Dornak Viloria, PSY.D.
• Laura Lynn Viner, PH. D.
• Vishnu D Gaiha MD SC
• Vision Surgeons and Consultants, LTD
• Visualeyes
• Katya Viswanadhan, PSY.D

• Psychiatry Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.