Active NPI
Moses Weksler, PH.D.
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1457417545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 05186
- Practice address
- 1455 55TH St
Brooklyn, NY 11219-4257 - Phone
- (718) 853-3593
- Fax
- (718) 686-0978
- NPI assigned
- Dec 31, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 05186 | NY | Primary |
Addresses
Primary practice location
1455 55TH St
Brooklyn, NY 11219-4257
Mailing address
21614 17TH Ave
Bayside, NY 11360-1222
Phone (718) 428-1037
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1060710 | Other | NY | BEACON HEALTH |
| NY SO 5186-B2 | Other | NY | WORKER'S COMPENSATION |
| 00496075 | Medicaid | NY | |
| P560509 | Other | NY | OXFORD |
| 078711 | Other | NY | VALUE OPTIONS |
| 1015863 | Other | NY | MULTIPLER |
| 0083056 | Other | NY | GHI |
| 5526630 | Other | NY | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041111000630 | NY | Practitioner - Clinical Psychologist | 6709849532 | Practice locations: Bayside, NY; Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1455 55TH St
Apt 2E
Brooklyn, NY 11219-4251
Phone (718) 853-3593
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05186 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457417545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21614 17TH AVE",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113601222",
"telephone_number": "718-428-1037",
"fax_number": "718-428-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 55TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112194257",
"telephone_number": "718-853-3593",
"fax_number": "718-686-0978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEKSLER",
"first_name": "MOSES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "05186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH",
"identifier": "1060710",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMPENSATION",
"identifier": "NY SO 5186-B2",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00496075",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P560509",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "078711",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLER",
"identifier": "1015863",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0083056",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "5526630",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- 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.