NPIMap

Organization Active NPI

Richard S. Greenbaum PHD, PA

  • Clinical Psychologist
  • No. Miami, FL
National Provider Identifier
1184950933
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY2247 Issued in FL
Legal business name
RICHARD S. GREENBAUM PHD, PA
Doing business as
Richard S. Greenbaum PHD, PA
Practice address
1175 N.E. 125 St.
#201
No. Miami, FL 33161-2218
Phone
(305) 891-4821
Fax
(305) 891-4271
NPI assigned
Oct 29, 2009
Last updated
Oct 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
Richard S Greenbaum, PHD, P.A.
Title
President
Phone
(305) 891-4821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY2247 FL Primary

Addresses

Primary practice location

1175 N.E. 125 St.
#201
No. Miami, FL 33161-2218

Mailing address

1175 N.E. 125 St.
#201
No. Miami, FL 33161-2218
Phone (305) 891-4821

Other names 1

  • Richard S. Greenbaum PHD, PA Doing business as

National Provider Directory

National Provider Directory

Locations

1175 NE 125th St
Ste 201
North Miami, FL 33161
Phone (305) 891-4821

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1184950933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 N.E. 125 ST.",
            "address_2": "#201",
            "city": "NO. MIAMI",
            "state": "FL",
            "postal_code": "331612218",
            "telephone_number": "305-891-4821",
            "fax_number": "305-891-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 N.E. 125 ST.",
            "address_2": "#201",
            "city": "NO. MIAMI",
            "state": "FL",
            "postal_code": "331612218",
            "telephone_number": "305-891-4821",
            "fax_number": "305-891-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S. GREENBAUM PHD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "GREENBAUM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-891-4821",
        "authorized_official_credential": "PHD, P.A."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard S. Greenbaum PHD, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.