Individual provider Active NPI

Vincent B. Greenwood, PHD

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1306028170
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1047 Issued in DC
Practice address
5225 Connecticut Ave NW
Suite 501
Washington, DC 20015-1813
Phone
(202) 244-0260
Fax
(202) 244-3871
NPI assigned
Dec 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 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 PSY1047 DC Primary

Addresses

Primary practice location

5225 Connecticut Ave NW
Suite 501
Washington, DC 20015-1813

Mailing address

5225 Connecticut Ave NW
Suite 501
Washington, DC 20015-1813
Phone (202) 244-0260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20111122000561 DC Practitioner - Clinical Psychologist 9133393473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5225 Connecticut Ave N W
Suite 501
Washington, DC 20015-1813
Phone (202) 244-0260

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Center for Cognitive Therapy,PC Clinical CurrentSince Sep 14, 2011 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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1306028170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 CONNECTICUT AVE NW",
            "address_2": "SUITE 501",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151813",
            "telephone_number": "202-244-0260",
            "fax_number": "202-244-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 CONNECTICUT AVE NW",
            "address_2": "SUITE 501",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151813",
            "telephone_number": "202-244-0260",
            "fax_number": "202-244-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "VINCENT",
        "middle_name": "B.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.