Phoenix Greenwood-Haller

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1 Parklane Blvd # 200E
Dearborn, MI 48126-2400

Phone

(313) 846-2606

Fax

(313) 846-2657

NPI assigned

Jul 8, 2019

Last updated

Feb 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psygenics IncGroup PAC ID 9436465820, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psygenics Inc

  • Clinical Social Worker
  • Dearborn, MI
  • NPI 1669736104

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1003478256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 N LOVINGTON DR APT 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834380",
            "telephone_number": "989-824-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARKLANE BLVD # 200E",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262400",
            "telephone_number": "313-846-2606",
            "fax_number": "313-846-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD-HALLER",
        "first_name": "PHOENIX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenfield Medical Center
• Greenfield Medical Center of Dearborn, P.C.
• Greenfield Medical Group PLLC
• Susan Greenshields, PH.D.
• Greenwarren Family Clinic
• Cheryl Lynn Greer, LMSW
• Devin Greer
• Gregg S. Bonamici DDS, PC
• Jaylin Dion Gregory
• Silke Greil, MD

• Mental Health Counselor in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.

Verify at the official NPI Registry.