Active NPI
Elizabeth Ann Greenwood, PH.D.
- Clinical Psychologist
- Tulsa, OK
National Provider Identifier
1164535712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 548
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 548 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Psychologist
- Tulsa, OK
- NPI 1790024917
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.