Individual provider Active NPI

Helene Danielle Greenwald, PH.D

  • Clinical Psychologist
  • Huntington Woods, MI
National Provider Identifier
1346458320
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012858 Issued in MI
Practice address
10484 Nadine Ave
Huntington Woods, MI 48070-1518
Phone
(248) 752-7946
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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 6301012858 MI Primary

Addresses

Primary practice location

10484 Nadine Ave
Huntington Woods, MI 48070-1518

Mailing address

10484 Nadine Ave
Huntington Woods, MI 48070-1518
Phone (248) 752-7946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250103001985 MI Practitioner - Clinical Psychologist 1951838945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29275 Northwestern Hwy
Suite 202
Southfield, MI 48034-5744
Phone (248) 752-7946

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301012858MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Helene D Greenwald PHD LLC CurrentSince Nov 16, 2024 Accepting new patients

Locations

29275 Northwestern Hwy
Ste 202
Southfield, MI 48034
Phone (248) 727-1990

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": "1657670400000",
    "number": "1346458320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10484 NADINE AVE",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701518",
            "telephone_number": "248-752-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10484 NADINE AVE",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701518",
            "telephone_number": "248-752-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "HELENE",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Woods, MI

Sources for this page

Verify at the official NPI Registry.