Individual provider Active NPI

Teresa J. Greiner, M.D.

  • Psychiatry Physician
  • Angola, IN
National Provider Identifier
1003834128
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
7579 Issued in ND
Practice address
3265 Intertech Dr
Angola, IN 46703-7325
Phone
(260) 665-9494
Fax
(260) 665-9496
NPI assigned
Jul 17, 2006
Last updated
Dec 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 7579 ND Primary

Addresses

Primary practice location

3265 Intertech Dr
Angola, IN 46703-7325

Mailing address

1175 E 300 N
Angola, IN 46703-9505
Phone (701) 580-2489

Other identifiers 3

IdentifierTypeStateIssuer
0039746MedicaidMT
20492OtherNDBLUE SHIELD OF ND
18891MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20131002000195 IN Practitioner - Psychiatry 3375595275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Baylor College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeastern Center IncGroup PAC ID 6709795636, 24 clinicians

Practice addresses (Care Compare)

3265 Intertech Dr
Angola, IN 46703-7325
Phone (260) 665-9494

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7579NDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Northeastern Center, Inc CurrentSince Jun 18, 2013 Accepting new patients
Northeastern Center Inc CurrentSince Jun 18, 2013 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

3265 Intertech Dr
Angola, IN 46703
Phone (260) 318-5511

1752 Wesley Rd
Auburn, IN 46706
Phone (260) 925-3865

1800 Wesley Rd
Auburn, IN 46706
Phone (260) 925-2453

1850 Wesley Rd
Auburn, IN 46706
Phone (260) 925-2453

220 S Main St
Kendallville, IN 46755
Phone (219) 347-4400

Interoperability endpoints

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

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1003834128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 E 300 N",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467039505",
            "telephone_number": "701-580-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 INTERTECH DR",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467037325",
            "telephone_number": "260-665-9494",
            "fax_number": "260-665-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREINER",
        "first_name": "TERESA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ND",
            "license": "7579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039746",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF ND",
            "identifier": "20492",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18891",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Angola, IN

Sources for this page

Verify at the official NPI Registry.