NPIMap

Organization Active NPI

Carey Greene, PSYD LLC

  • Psychologist
  • Southborough, MA
National Provider Identifier
1366130486
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CAREY GREENE, PSYD LLC
Practice address
14 Dairy Farm LN
Southborough, MA 01772-1046
Phone
(646) 753-2019
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Carey GreeneNPI 1881756062
Title
Psychologist/Owner
Phone
(646) 753-2019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

14 Dairy Farm LN
Southborough, MA 01772-1046

Mailing address

14 Dairy Farm LN
Southborough, MA 01772-1046
Phone (646) 753-2019

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1366130486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DAIRY FARM LN",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721046",
            "telephone_number": "646-753-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DAIRY FARM LN",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721046",
            "telephone_number": "646-753-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREY GREENE, PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "646-753-2019"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.