Individual provider Active NPI

Elizabeth Ann Greenwood, PH.D.

  • Clinical Psychologist
  • Tulsa, OK
National Provider Identifier
1164535712
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
548 Issued in OK
Practice address
2021 S Lewis Ave Ste 620
Tulsa, OK 74104-5712
Phone
(918) 392-4747
Fax
(918) 392-4741
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 548 OK Primary

Addresses

Primary practice location

2021 S Lewis Ave Ste 620
Tulsa, OK 74104-5712

Mailing address

PO Box 14525
Tulsa, OK 74159-1525
Phone (405) 521-1969

Other practice location 1

1811 S Baltimore Ave Ste 200
Tulsa, OK 74119-5215
Phone (918) 392-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
548OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth a Greenwood, P.C. Clinical Past Accepting new patients

Organizations & group practices 1

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164535712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14525",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741591525",
            "telephone_number": "405-521-1969",
            "fax_number": "405-521-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S LEWIS AVE STE 620",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045712",
            "telephone_number": "918-392-4747",
            "fax_number": "918-392-4741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 S Baltimore Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741195215",
            "country_code": "US",
            "telephone_number": "918-392-4747",
            "fax_number": "918-392-4741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.