Active NPI
Nettie K Greenstein, PSYD
- Psychologist
- Canton, MA
National Provider Identifier
1356376552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6583
- Practice address
- 345 Neponset St
Canton, MA 02021 - Phone
- (781) 828-1222
- Fax
- (781) 828-5454
- NPI assigned
- Jul 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6583 | MA | Primary |
Addresses
Primary practice location
345 Neponset St
Canton, MA 02021
Mailing address
345 Neponset St
Canton, MA 02021
Phone (781) 828-1222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W05659 | Other | MA | BCBS HMO PPO FEDERAL |
| 799214 | Other | MA | TUFTS HMO |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6583 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356376552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 NEPONSET ST",
"city": "CANTON",
"state": "MA",
"postal_code": "02021",
"telephone_number": "781-828-1222",
"fax_number": "781-828-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 NEPONSET ST",
"city": "CANTON",
"state": "MA",
"postal_code": "02021",
"telephone_number": "781-828-1222",
"fax_number": "781-828-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENSTEIN",
"first_name": "NETTIE",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "6583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS HMO PPO FEDERAL",
"identifier": "W05659",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HMO",
"identifier": "799214",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.