Ann Greenberg, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

010648 Issued in NY

Practice address

105 S Madison Ave
Spring Valley, NY 10977-5474

Phone

(845) 577-6018

Fax

(845) 577-6059

NPI assigned

Dec 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ann Core Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1003972324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SACHEM RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068307230",
            "telephone_number": "203-661-7062",
            "fax_number": "203-661-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S MADISON AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775474",
            "telephone_number": "845-577-6018",
            "fax_number": "845-577-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "1836",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "CORE",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Georgette Gouenet
• Kamina Grant
• Michael Philip Greany, DC
• Gwendolen A Green
• Paula Joann Green, RN
• Fruma Greenberg
• Emerald Greene
• Bruce Gribetz, M.D.
• Ahron Grinbaum, BCBA, LBA-NY
• Faigy Grossman, SLP

• Clinical Psychologist in Spring Valley, NY
• Providers in Spring Valley, 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 May 8, 2019; 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.