Ellen Diane Greenspan, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

006975 Issued in NY

Practice address

15 Chelsea Dr
Merrick, NY 11566-2005

Phone

(516) 623-2465

Fax

(516) 623-6891

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124165709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHELSEA DR",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662005",
            "telephone_number": "516-623-2465",
            "fax_number": "516-623-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CHELSEA DR",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662005",
            "telephone_number": "516-623-2465",
            "fax_number": "516-623-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPAN",
        "first_name": "ELLEN",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "006975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Susan Greco, L.C.S.W.
• Lauren Anne Greco, D.M.D.
• Akyra M. Green
• Judy Pearl Greenberger, LMFT, RN, MSN, HNC
• Michael Greene, ESQ
• Esther Greif, LCSW
• Susan Groh, M.D.
• Myles Grossman
• Xia Guan
• Jessica Gubenko, M.A., CFY

• Psychologist in Merrick, NY
• Providers in Merrick, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.