Richard M Greene Jr., PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CP7997 Issued in CA

Practice address

2181 S El Camino Real
Suite 201
Oceanside, CA 92054-6220

Phone

(760) 721-1111

Fax

(760) 721-1116

NPI assigned

Jul 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael Samko, PH.D., Inc.

  • Psychologist
  • Oceanside, CA
  • NPI 1740232727
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225050388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 S EL CAMINO REAL",
            "address_2": "SUITE 201",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546220",
            "telephone_number": "760-721-1111",
            "fax_number": "760-721-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 S EL CAMINO REAL",
            "address_2": "SUITE 201",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546220",
            "telephone_number": "760-721-1111",
            "fax_number": "760-721-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "CP7997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PJ0079971",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Green
• Gaye Denise Green, MHS,OTR/L
• Michael Green, M.D.
• Sherolyn Green, OTR/L
• Jake Greenberg
• Parisa Tamasebi Greenland, OMT
• Melissa Greenway
• Sara Greetis, RD, CSOWM
• Gregorio V. Tolentino, D.D.S. Inc.
• Todd M Grehl, MD

• Mental Health Counselor in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.