Active NPI
Stephen R Wiener, M.D.
- Psychiatry Physician
- Newton, MA
National Provider Identifier
1760417794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 43076
- Practice address
- 10 Langley Rd
Suite 303
Newton, MA 02459-1972 - Phone
- (617) 527-4055
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 43076 | MA | Primary |
Addresses
Primary practice location
10 Langley Rd
Suite 303
Newton, MA 02459-1972
Mailing address
10 Langley Rd Ste 303
Newton, MA 02459-1972
Phone (617) 527-4055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041006001048 | MA | Practitioner - Psychiatry | 6800855792 | Practice locations: Wellesley Hills, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Duke University School of Medicine, 1975
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
63 Garden Rd
Apt G9
Wellesley Hills, MA 02481-3026
Phone (617) 527-4055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43076 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1760417794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LANGLEY RD STE 303",
"city": "NEWTON",
"state": "MA",
"postal_code": "024591972",
"telephone_number": "617-527-4055",
"fax_number": "617-527-2571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LANGLEY RD",
"address_2": "SUITE 303",
"city": "NEWTON",
"state": "MA",
"postal_code": "024591972",
"telephone_number": "617-527-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIENER",
"first_name": "STEPHEN",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "43076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.