Jeffrey Greenbaum MD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JEFFREY GREENBAUM MD

Practice address

420 S. Jackson St
Jackson, WY 83001

Phone

(307) 690-3383

NPI assigned

Oct 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Greenbaum

Title

Manager

Phone

(307) 690-3383

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1407676596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1983",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830141983",
            "telephone_number": "307-690-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S. JACKSON ST",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "307-690-3383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 E Pearl Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "830018599",
            "country_code": "US",
            "telephone_number": "307-690-3383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFREY GREENBAUM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "GREENBAUM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "307-690-3383",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Pediatrics P.C.
• Jackson Whole Family Health, Inc.
• William Jackson, RPH
• James L. Derrico DDS LLC
• JBG Consulting
• James Richard Jenkins
• Adam Johnson, M.D.
• Camden Johnson
• Lansworth Johnson
• Teerstyn Elaine Johnson

• Mental Health Counselor in Jackson, WY
• Providers in Jackson, WY by specialty
• Mental Health Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.