Individual provider Active NPI

Howard Kenneth Weiner, M.D.

  • Psychiatry Physician
  • Vernon, CT
National Provider Identifier
1891787859
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
48197 Issued in CT
Practice address
31 Union St
Vernon, CT 06066-3126
Phone
(203) 770-3018
NPI assigned
Aug 16, 2005
Last updated
May 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301058933 MI
Child & Adolescent Psychiatry Physician 2084P0804X 4301058933 MI
Psychiatry Physician 2084P0800X 48197 CT Primary

Addresses

Primary practice location

31 Union St
Vernon, CT 06066-3126

Mailing address

100 Trumbull St Apt 209
Hartford, CT 06103-2430
Phone (203) 770-3018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100506000449 CT Practitioner - Psychiatry 9234105958 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Michigan Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 647-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48197CTMDPsychiatry Physician
4301058933MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health, Inc. Psychiatry CurrentSince Jan 9, 2014 Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Prospect Rockville Hospital, Inc. CurrentSince Nov 9, 2024 Accepting new patients
New York Gracie Square Hospital Inc CurrentSince May 16, 2016 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Acme Psychiatric Services Psychiatry Current Accepting new patients
Prospect Manchester Hospital, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Cyril Waynik MD PC Psychiatry CurrentSince Feb 25, 2010 Accepting new patients
Prospect Manchester Hospital, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Silver Hill Hospital, Inc CurrentSince Feb 24, 2021 Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients
Bobbi Ebsen Psychotherapy LLC Past Accepting new patients
Northbrook Psychological Clinic PLC PastSince Oct 9, 2002 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

52 Beach Rd
Ste 104
Fairfield, CT 06824
Phone (203) 254-2000

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

208 Valley Rd
New Canaan, CT 06840
Phone (203) 966-3561

2600 Tamarack Ave
South Windsor, CT 06074
Phone (860) 872-0501

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

Interoperability endpoints

  • Direct secure messaging: howardweiner@tdh.allscriptsdirect.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1891787859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TRUMBULL ST APT 209",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061032430",
            "telephone_number": "203-770-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 UNION ST",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663126",
            "telephone_number": "203-770-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "HOWARD",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301058933",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301058933",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "48197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.