Active NPI
Lindsay Shera Weisner, PSYD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1841313087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P54487
- Practice address
- 329 E 62ND St
New York, NY 10021-7705 - Phone
- (212) 838-4333
- Fax
- (212) 838-7158
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P54487 | NY | Primary |
Addresses
Primary practice location
329 E 62ND St
New York, NY 10021-7705
Mailing address
11223 75TH Ave Apt 3
Forest Hills, NY 11375-7407
Phone (202) 491-8508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P54487 | Other | NY | PSYCHOLOGY |
Other names 1
- Lindsay Shera Kallen
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 |
|---|---|---|---|
| P54487 | NY | MD | Clinical Psychologist |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- lweisner@montefioredirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841313087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11223 75TH AVE APT 3",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757407",
"telephone_number": "202-491-8508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 E 62ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100217705",
"telephone_number": "212-838-4333",
"fax_number": "212-838-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISNER",
"first_name": "LINDSAY",
"middle_name": "SHERA",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "P54487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY",
"identifier": "P54487",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "KALLEN",
"middle_name": "SHERA",
"code": "1",
"type": "Former 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.