Active NPI
Michael Jason Greenberg, PSY.D
- Clinical Psychologist
- Silverdale, WA
National Provider Identifier
1336473073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY30676
- Practice address
- 2050 Barb St Ste a
Silverdale, WA 98315-2050 - Phone
- (760) 815-0488
- NPI assigned
- Sep 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY30676 | CA | Primary |
Addresses
Primary practice location
2050 Barb St Ste a
Silverdale, WA 98315-2050
Mailing address
27615 Woodside Rd NE
Kingston, WA 98346-9510
Phone (760) 815-0488
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 |
|---|---|---|---|
| PSY30676 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1336473073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27615 WOODSIDE RD NE",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983469510",
"telephone_number": "760-815-0488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 BARB ST STE A",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983152050",
"telephone_number": "760-815-0488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "MICHAEL",
"middle_name": "JASON",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-29",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY30676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.