Lisa A Greenberg, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 24788 Issued in CA

Practice address

5627 Cabot Dr
Oakland, CA 94611-2247

Phone

(510) 594-1926

Fax

(510) 594-1673

NPI assigned

Jul 30, 2007

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

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1144410804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 CABOT DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112247",
            "telephone_number": "510-594-1926",
            "fax_number": "510-594-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 CABOT DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112247",
            "telephone_number": "510-594-1926",
            "fax_number": "510-594-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 24788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia H Green, MA, LMFT
• Victoria Mary Green, MS, OTR/L
• Willie James Green Jr.
• David Greenberg, RN
• James Philip Greenberg, LCSW
• Mara Beth Greenberg, MD
• Caitlyn Nicholson Greene
• Deborah Reynolds Greene, M.D.
• Evan Anne Greene
• Joshua Ian Greene, AMFT

• Clinical Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.