Individual provider Active NPI

Anders C Greenwood, PSYD, PH.D.

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1255549168
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22009 Issued in CA
Practice address
703 Market St
Suite 410
San Francisco, CA 94103-2102
Phone
(510) 364-4825
Fax
(510) 475-5905
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X PSY22009 CA Primary

Addresses

Primary practice location

703 Market St
Suite 410
San Francisco, CA 94103-2102

Mailing address

32036 Paloma Court
Union City, CA 94587-4078
Phone (510) 364-4825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081124000189 CA Practitioner - Psychologist Billing Independently 5597825323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2999 Regent St
Suite 512
Berkeley, CA 94705-2120
Phone (510) 364-4825

550 Hamilton Ave
Suite 306
Palo Alto, CA 94301-2031
Phone (510) 364-4825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Anders Greenwood, Doctor of Psychology, Inc. Clinical CurrentSince Mar 6, 2013 Accepting new patients

Locations

2999 Regent St
Ste 512
Berkeley, CA 94705
Phone (510) 549-0734

550 Hamilton Ave
Ste 306
Palo Alto, CA 94301
Phone (650) 245-4473

550 Hamilton Ave
Ste 309
Palo Alto, CA 94301
Phone (650) 520-8089

703 Market St
Ste 410
San Francisco, CA 94103
Phone (415) 896-2500

582 Market St
Ste 1502
San Francisco, CA 94104

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1255549168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32036 PALOMA COURT",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874078",
            "telephone_number": "510-364-4825",
            "fax_number": "510-475-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MARKET ST",
            "address_2": "SUITE 410",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032102",
            "telephone_number": "510-364-4825",
            "fax_number": "510-475-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "ANDERS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSYD, PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.