Individual provider Active NPI

Eric M. Greene, PH D

  • Psychologist
  • Burbank, CA
National Provider Identifier
1114567310
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY31555 Issued in CA
Practice address
2600 W Olive Ave Ste 570
Burbank, CA 91505-4549
Phone
(310) 571-8904
Fax
(323) 639-5169
NPI assigned
Jan 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis Psychologist 103TP0814X PSY31555 CA
Psychologist 103T00000X PSY31555 CA Primary

Addresses

Primary practice location

2600 W Olive Ave Ste 570
Burbank, CA 91505-4549

Mailing address

2600 W Olive Ave Ste 570
Burbank, CA 91505-4549
Phone (323) 577-5898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221208002305 CA Practitioner - Psychologist Billing Independently 9739558065
I20240724002930 CA Practitioner - Clinical Psychologist 9739558065 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY31555CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Greene, PHD Psychoanalysis CurrentSince Sep 1, 2022 Accepting new patients
Neighborhood Healthcare CurrentSince Nov 28, 2022 Accepting new patients
Neighborhood Healthcare CurrentSince Nov 28, 2022 Accepting new patients

Locations

855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751

426 N Date St
Ste 203
Escondido, CA 92025
Phone (760) 690-5900

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1114567310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W OLIVE AVE STE 570",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054549",
            "telephone_number": "323-577-5898",
            "fax_number": "323-639-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W OLIVE AVE STE 570",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054549",
            "telephone_number": "310-571-8904",
            "fax_number": "323-639-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ERIC",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "CA",
            "license": "PSY31555",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY31555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.