Individual provider Active NPI

Matthew Weinerth, PSY.D.

  • Clinical Psychologist
  • Syracuse, NY
National Provider Identifier
1700662459
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
026674 Issued in NY
Practice address
713 Harrison St
Syracuse, NY 13210-2305
Phone
(315) 464-3191
NPI assigned
Sep 7, 2023
Last updated
Feb 12, 2025By the provider in NPPES
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 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 026674 NY Primary

Addresses

Primary practice location

713 Harrison St
Syracuse, NY 13210-2305

Mailing address

8201 State Route 34
Weedsport, NY 13166-9814

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029004600 NY Practitioner - Clinical Psychologist 4284167289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

890 7TH N St
Suite 200
Liverpool, NY 13088-6558
Phone (315) 422-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026674NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry Services of New York PC CurrentSince Sep 4, 2025 Accepting new patients
Psychiatry Services of New York, P.C. CurrentSince Sep 4, 2025 Accepting new patients
Suny Health Science Center at Syracuse Psychologist CurrentSince Sep 11, 2024 Accepting new patients
Suny Health Science Center at Syracuse CurrentSince Sep 11, 2024 Accepting new patients

Locations

8289 Loop Rd
Baldwinsville, NY 13027
Phone (315) 452-0300

890 7th North St
Ste 100
Liverpool, NY 13088

890 7th North St
Ste 200
Liverpool, NY 13088
Phone (315) 200-1056

713 Harrison St
Syracuse, NY 13210
Phone (315) 464-3145

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28623/brand/6/csg/1/fhir/r4
  • Direct secure messaging: matthew.weinerth.1@28623.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1700662459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 STATE ROUTE 34",
            "city": "WEEDSPORT",
            "state": "NY",
            "postal_code": "131669814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 HARRISON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102305",
            "telephone_number": "315-464-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINERTH",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2023-09-07",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "026674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.