Active NPI
Scott Weisner, PSY.D.
- Psychologist
- Brooklyn, NY
National Provider Identifier
1699040972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 016858
- Practice address
- 26 Court St
Suite 1711
Brooklyn, NY 11242-0103 - Phone
- (917) 721-0067
- NPI assigned
- Mar 20, 2012
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 016858 | NY | Primary |
Addresses
Primary practice location
26 Court St
Suite 1711
Brooklyn, NY 11242-0103
Mailing address
26 Court St
Suite 1711
Brooklyn, NY 11242-0103
Phone (917) 721-0067
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016858 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1699040972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 COURT ST",
"address_2": "SUITE 1711",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112420103",
"telephone_number": "917-721-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 COURT ST",
"address_2": "SUITE 1711",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112420103",
"telephone_number": "917-721-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISNER",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-20",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "016858",
"primary": true
}
],
"identifiers": [],
"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 Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.