Individual provider Active NPI

Don Michael Greif, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1275733271
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0093471 Issued in NY
Practice address
603 West 111TH St
Suite 5E
New York, NY 10025-1805
Phone
(212) 666-3550
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0093471 NY Primary

Addresses

Primary practice location

603 West 111TH St
Suite 5E
New York, NY 10025-1805

Mailing address

603 West 111TH St
Suite 5E
New York, NY 10025-1805
Phone (212) 666-3550

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080211000302 NY Practitioner - Clinical Psychologist 2163505496 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

603 W 111TH St
New York, NY 10025-1805
Phone (212) 666-3550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0093471NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
MHSP,Inc Clinical Past Accepting new patients

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1275733271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 WEST 111TH ST",
            "address_2": "SUITE 5E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251805",
            "telephone_number": "212-666-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 WEST 111TH ST",
            "address_2": "SUITE 5E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251805",
            "telephone_number": "212-666-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREIF",
        "first_name": "DON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0093471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.