Kathryn Alana Greene, PSY.D.
Individual provider Active NPI Psychologist · Brookline, MA
NPI 1154761344 · NPPES record last updated Sep 7, 2021
Key facts
- NPI
- 1154761344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 9708 (MA)
- Practice address
- 1093 Beacon St Ste 103
Brookline, MA 02446-5623 - Phone
- (617) 435-1505
- NPI assigned
- Jul 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Shore Mental Health Center Inc
Practice addresses (Care Compare)
1501 Washington St
Braintree, MA 02184-7599
Phone (617) 847-1950
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140728001510 | MA | Practitioner - Clinical Psychologist | 9739305798 |
Reassigns benefits to 1 organization Practice locations: Weymouth, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Mental Health Center, Inc. | Current |
Accepting new patients |
Locations
1501 Washington St
Braintree, MA 02184
Phone (617) 745-2709
Interoperability endpoints
- kathryngreene@ssmh.netsmartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 9708 | MA | Yes |
Addresses
Primary practice location
1093 Beacon St Ste 103
Brookline, MA 02446-5623
Mailing address
9 Main St
Boston, MA 02129-3759
Phone (617) 435-1505
Other practice location 1
57 Highland Ave
Salem, MA 01970-2141
Phone (978) 745-2100
Other providers in Brookline, MA
- S Emilie Green
- Karen S Greenberg
- Kimberly Kate Greenberg
- Pamela Pomeroy Greenberg
- Dana Rebecca Greene
- Megan Elizabeth Greene
- Allan H Greenfield
- Nancy Lorene Gregg
- James F Gregoire
- Michael G Gregory
All providers in Brookline, MA · Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.