Organization Active NPI

Stephen Greene, PH.D. PC

  • Clinical Psychologist
  • Augusta, ME
National Provider Identifier
1356697510
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS 1024 Issued in ME
Legal business name
STEPHEN GREENE, PH.D. PC
Practice address
49 Oak St
Augusta, ME 04330-5118
Phone
(207) 649-4046
Fax
(207) 622-6290
NPI assigned
Jul 25, 2012
Last updated
Nov 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Greene, PH.D.NPI 1598823569
Title
Psychologist
Phone
(207) 649-4046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS 1024 ME Primary

Addresses

Primary practice location

49 Oak St
Augusta, ME 04330-5118

Mailing address

138 Priest Hill Rd
Vassalboro, ME 04989-3305
Phone (207) 649-4046

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1356697510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 PRIEST HILL RD",
            "city": "VASSALBORO",
            "state": "ME",
            "postal_code": "049893305",
            "telephone_number": "207-649-4046",
            "fax_number": "207-622-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OAK ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305118",
            "telephone_number": "207-649-4046",
            "fax_number": "207-622-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN GREENE, PH.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "207-649-4046",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS 1024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.