Marie Greenspan, PHD, MSCP

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

0038 Issued in NM

Practice address

7316 Redbloom Rd NW
Albuquerque, NM 87114-6407

Phone

(505) 365-1935

Fax

(505) 792-6837

NPI assigned

Aug 18, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1972694602

  TX

  Medicare reassignment NPD
• U S Health Dept of Health & Human Services

  dba Lodge Grass Clinic

  • Critical Access Hospital
  • Lodge Grass, MT
  • NPI 1750410395
  NPD
• US Health Dept of Health & Human Services

  dba Crow/Northern Cheyenne Hospital

  • Critical Access Hospital
  • Crow Agency, MT
  • NPI 1548393358
  NPD

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1184616765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65669",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871935669",
            "telephone_number": "505-365-1935",
            "fax_number": "505-792-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7316 REDBLOOM RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146407",
            "telephone_number": "505-365-1935",
            "fax_number": "505-792-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPAN",
        "first_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD, MSCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "1142",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301003263",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "0038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52225755",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Nathaniel Greene, D.D.S.
• Rufus Greene Jr., PHD
• Cami Lee Greenfield, MA, (LPCC)
• Shonn Greengrass
• Thomas Greenleaf
• Margaret Greenwood-Ericksen, MD
• Cheryl Greenwood
• Matthew Greenwood, APRN
• Joanne Elaine Greer, CNP
• Sarah Greer

• Prescribing (Medical) Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Prescribing (Medical) Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.