Active NPI
Matthew Weinerth, PSY.D.
- Clinical Psychologist
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 026674
- Practice address
- 713 Harrison St
Syracuse, NY 13210-2305 - Phone
- (315) 464-3191
- NPI assigned
- Sep 7, 2023
- Last updated
- Feb 12, 2025
- Sole proprietor
- No
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 | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 026674 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry Services of New York PC | Current | Accepting new patients | |
| Psychiatry Services of New York, P.C. | Current | Accepting new patients | |
| Suny Health Science Center at Syracuse | Psychologist | Current | Accepting new patients |
| Suny Health Science Center at Syracuse | Current | 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
- https://api.platform.athenahealth.com/28623/brand/6/csg/1/fhir/r4
- 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.
-
- Counseling Psychologist
- Syracuse, NY
- NPI 1013781871
-
dba Upstate University Hospital
- General Acute Care Hospital
- Syracuse, NY
- NPI 1184974529
Psychologist
-
- Clinical Social Worker
- Syracuse, NY
- NPI 1104619352
-
dba Upstate Outpatient Pharmacy at Nappi
- Pharmacy
- Syracuse, NY
- NPI 1306567474
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.