ELLIOT WEINER PH.D.
NPI 1043661374
Psychologist - Clinical in New York, NY

Active since June 28, 2016Opted out of Medicare · through Dec 22, 2026
14 E 4TH ST, SUITE 407, NEW YORK, NY 10012(646) 653-0933 Get Directions Write a Review

NPPES record last updated: June 28, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elliot Weiner Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIOT WEINER PH.D. (NPI 1043661374) is an individual clinical provider in New York, New York, licensed in New York (020186-1) and active in the NPI registry since June 2016. He has opted out of Medicare through December 22, 2026.

NPPES Registry Identity

NPI1043661374
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameELLIOT WEINERCredential: PH.D.
Location Address14 E 4TH ST, SUITE 407New York, NY 10012-1155
Mailing Address4 W 101st St, Apt 67New York, NY 10025-4755 · (718) 514-0824
Sole ProprietorYes
Enumeration DateJune 28, 2016
NPI 1043661374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 020186-1
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

14 E 4TH ST, New York, NY 10012

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Elliot Weiner Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 22, 2020 through December 22, 2026.

Opt-Out Effective DateDecember 22, 2020
Opt-Out In Effect ThroughDecember 22, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
14 E 4TH ST, STE 505
NEW YORK, NY 10012
Counselor (Mental Health)
14 E 4TH ST, C/O CAROL GLASSMAN, SUITE 407
NEW YORK, NY 10012
Psychologist (Clinical)
14 E 4TH ST, SUITE 401
NEW YORK, NY 10012
Dermatology
14 E 4TH ST, SUITE 505
NEW YORK, NY 10012
Psychologist (Clinical)
14 E 4TH ST, 608
NEW YORK, NY 10012
Psychologist (Clinical)
14 E 4TH ST
NEW YORK, NY 10012
Psychologist (Clinical)
14 E 4TH ST, SUITE 402
NEW YORK, NY 10012
Social Worker (Clinical)
14 E 4TH ST, #501
NEW YORK, NY 10012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043661374, enumerated as an "individual" on June 28, 2016.

The provider is located at 14 E 4TH ST SUITE 407 NEW YORK, NY 10012 and the phone number is (646) 653-0933.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.