Individual provider Active NPI

Jeffrey Joseph Wainstein, PHD, MA

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1578314571
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
TRAINEE Issued in NY
Practice address
30 Charlton St
New York, NY 10014-4908
Phone
(323) 920-5333
NPI assigned
Mar 28, 2024
Last updated
Sep 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X TRAINEE NY Primary

Addresses

Primary practice location

30 Charlton St
New York, NY 10014-4908

Mailing address

23 Saint Francis PL # 3
Brooklyn, NY 11216-4110
Phone (312) 415-3635

Other practice location 1

81 Court St
Brooklyn, NY 11201-5003
Phone (323) 920-5333

Other names 1

  • Jeffrey Joseph Small Other name

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)
Not enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
TRAINEENYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1578314571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SAINT FRANCIS PL # 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164110",
            "telephone_number": "312-415-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CHARLTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144908",
            "telephone_number": "323-920-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Court St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015003",
            "country_code": "US",
            "telephone_number": "323-920-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAINSTEIN",
        "first_name": "JEFFREY",
        "middle_name": "JOSEPH",
        "credential": "PHD, MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "TRAINEE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "SMALL",
            "middle_name": "JOSEPH",
            "credential": "PHD, MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.