Organization Active NPI

Chloe Greenbaum, PH.D., P.C.

  • Health Service Psychologist
  • Cambridge, MA
National Provider Identifier
1376167882
Registry record updated May 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
Legal business name
CHLOE GREENBAUM, PH.D., P.C.
Practice address
872 Massachusetts Avenue
Suite 2-1
Cambridge, MA 02139
Phone
(617) 807-0773
NPI assigned
May 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2020

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

Authorized official

Name
Dr. Chloe Alexa Greenbaum, PHDNPI 1104358696
Title
Licensed Psychologist
Phone
(617) 807-0773

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
Health Service PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0100X Primary

Addresses

Primary practice location

872 Massachusetts Avenue
Suite 2-1
Cambridge, MA 02139

Mailing address

872 Massachusetts Avenue
Suite 2-1
Cambridge, MA 02139
Phone (914) 420-7166

Other identifiers 1

IdentifierTypeStateIssuer
1104358696OtherNPI ENTITY TYPE I

National Provider Directory

National Provider Directory

Locations

872 Massachusetts Ave
Ste 2-1
Cambridge, MA 02139
Phone (617) 448-9916

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": "1590883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590883200000",
    "number": "1376167882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 MASSACHUSETTS AVENUE",
            "address_2": "SUITE 2-1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "914-420-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 MASSACHUSETTS AVENUE",
            "address_2": "SUITE 2-1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "617-807-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHLOE GREENBAUM, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-31",
        "last_updated": "2020-05-31",
        "certification_date": "2020-05-31",
        "status": "A",
        "authorized_official_last_name": "GREENBAUM",
        "authorized_official_first_name": "CHLOE",
        "authorized_official_middle_name": "ALEXA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-807-0773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ENTITY TYPE I",
            "identifier": "1104358696",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2020; 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.