B. Ronni Greenberg, Psy.D., PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071005250 Issued in IL

Legal business name

B. RONNI GREENBERG, PSY.D., PC

Practice address

3748 N Ashland Ave
Unit 1-N
Chicago, IL 60613-6098

Phone

(773) 405-6007

NPI assigned

Jan 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronnie Greenberg, PSY.D.NPI 1124107628

Title

Licensed Clinical Psychologist

Phone

(773) 405-6007

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Ronni Greenberg, Psy.,D. Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronnie Greenberg, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1124107628
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1235280686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3748 N ASHLAND AVE",
            "address_2": "UNIT 1-N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136098",
            "telephone_number": "773-405-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3748 N ASHLAND AVE",
            "address_2": "UNIT 1-N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136098",
            "telephone_number": "773-405-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. RONNI GREENBERG, PSY.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-405-6007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21623217",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "207311",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7999116",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronni Greenberg, Psy.,D.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Ronni Greenberg, Psy.,D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.