Beth Audrey Weiner, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

009946 Issued in NY

Practice address

10 Pearl St FL 2
Port Chester, NY 10573-4611

Phone

(845) 279-5908

NPI assigned

Nov 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Carmel Psychological Health, PC

  • Psychologist
  • Carmel, NY
  • NPI 1720194335
  NPD

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1982427308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PEARL ST FL 2",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734611",
            "telephone_number": "845-279-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PEARL ST FL 2",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734611",
            "telephone_number": "845-279-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "BETH",
        "middle_name": "AUDREY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ligia Velez, LMSW,ACSW
• Kenrick Vincent
• Walgreen Co
• Andrea Wang-Castaneda, LCSW
• Warby Parker Inc.
• Carla Isabel Weisfeld, DDS
• Jan I Weiss, LMSW
• Westchester Chiropractic & PT PLLC
• Westchester Gentle Dentistry, P.C.
• Westchester Geriatric Psychological Services PC

• Clinical Psychologist in Port Chester, NY
• Providers in Port Chester, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.