Active NPI
Anjalee Greenwood, PSY.D., BCBA
- Psychologist
- Vacaville, CA
National Provider Identifier
1295122877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY31738
- Practice address
- 1600 California Dr.
Vacaville, CA 95687 - Phone
- (707) 448-6841
- NPI assigned
- Apr 21, 2015
- Last updated
- Aug 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-18420 | CA | |
| Psychologist | 103T00000X | PSY31738 | CA | Primary |
Addresses
Primary practice location
1600 California Dr.
Vacaville, CA 95687
Mailing address
PO Box 3046
San Jose, CA 95156-3046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31738 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ste Consultants, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Berkeley, CA
- NPI 1609198175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1295122877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3046",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951563046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CALIFORNIA DR.",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "95687",
"telephone_number": "707-448-6841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "ANJALEE",
"name_prefix": "Dr.",
"credential": "PSY.D., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-21",
"last_updated": "2022-08-17",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-15-18420",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY31738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
- Grassroots Health a Social Purpose Corporation (Grassroots DPC)
- Grassroots Healthcare Foundation
- Tarey Shannon Graves-Wright
- Andrea Michelle Graves, PSY.D.
- Tanya M. Greenfield, PSY.D.
- Tiffany Anne Greer, LCSW
- Nicole K Gregg, M.A., CCC-SLP
- Paula Ann Gregg, PH.D.
- Kathryn Leigh Gregory, BT
- Darla Joan Gress, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.