Greenway Clinic of Psychological Services Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GREENWAY CLINIC OF PSYCHOLOGICAL SERVICES INC

Practice address

3322 Barham Blvd
Los Angeles, CA 90068-1404

Phone

(323) 851-3200

Fax

(323) 851-3215

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Sookyung K. Chang, PHD

Title

Ceo

Phone

(323) 851-3200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1407159791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55458",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914130458",
            "telephone_number": "323-851-3200",
            "fax_number": "323-851-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 BARHAM BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681404",
            "telephone_number": "323-851-3200",
            "fax_number": "323-851-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY CLINIC OF PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SOOKYUNG",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-851-3200",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Joshua Greenstein, RPH
• Samantha Greenstein
• Isabella Greenstone
• Lynn M. Greenwald, MFT
• Olivia Bree Greenwald, PA
• Sabir Greenwell
• Janet E. Greenwood, PA
• Sydni Greenwood
• Analisa Greer
• Darrel Greer

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.