Active NPI
David J. Greenberg, PHD, LTD
- Clinical Psychologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- DAVID J. GREENBERG, PHD, LTD
- Practice address
- 4801 W Peterson Ave
403
Chicago, IL 60646-5713 - Phone
- (847) 432-6465
- Fax
- (847) 432-5389
- NPI assigned
- Dec 25, 2007
- Last updated
- Dec 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Joel Greenberg, PHD
- Title
- President
- Phone
- (847) 432-6465
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
4801 W Peterson Ave
403
Chicago, IL 60646-5713
Mailing address
4801 W Peterson Ave
403
Chicago, IL 60646-5713
Phone (847) 432-6465
National Provider Directory
National Provider DirectoryLocations
4801 W Peterson Ave
Ste 403
Chicago, IL 60646
Phone (773) 407-1121
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Chicago, IL
- NPI 1164509170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198627200000",
"number": "1053595132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 W PETERSON AVE",
"address_2": "403",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465713",
"telephone_number": "847-432-6465",
"fax_number": "847-432-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 W PETERSON AVE",
"address_2": "403",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465713",
"telephone_number": "847-432-6465",
"fax_number": "847-432-5389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID J. GREENBERG, PHD, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-25",
"last_updated": "2007-12-26",
"status": "A",
"authorized_official_last_name": "GREENBERG",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "JOEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-432-6465",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.