Chloe Greenbaum, PH.D.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

11089 Issued in MA

Practice address

872 Massachusetts Avenue
Suite 2-1
Cambridge, MA 02139-2316

Phone

(617) 807-0773

NPI assigned

Apr 3, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Chloe Greenbaum, PH.D., P.C.

  • Health Service Psychologist
  • Cambridge, MA
  • NPI 1376167882
  NPD Authorized official

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1104358696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 MASSACHUSETTS AVENUE",
            "address_2": "SUITE 2-1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392316",
            "telephone_number": "617-807-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 MASSACHUSETTS AVENUE",
            "address_2": "SUITE 2-1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021392316",
            "telephone_number": "617-807-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "CHLOE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "11089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Sutera Green, CNP
• Jenna Green
• Jennifer B Green, MD
• Lauren Green
• Marjorie A. Green, M.D.
• Pamela Greenberg, M.A. COUNSELING PSYC
• Susan R Greenberg, APRN
• Richard J Greene, PHD
• Tammy Rachel Greene, LMHC, MA
• Tracy F.C. Greenfield, LMHC

• Health Service Psychologist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Health Service Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.