Active NPI
Judith J. Greenberg, MD
- Child & Adolescent Psychiatry Physician
- Cooperstown, NY
National Provider Identifier
1437206554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 158279
- Practice address
- One Atwell Rd.
Bassett Medical Center, Psychiatry Opd
Cooperstown, NY 13326 - Phone
- (607) 547-3500
- Fax
- (607) 547-6550
- NPI assigned
- Jan 3, 2007
- Last updated
- Jul 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 158279 | NY | Primary |
Addresses
Primary practice location
One Atwell Rd.
Bassett Medical Center, Psychiatry Opd
Cooperstown, NY 13326
Mailing address
One Atwell Rd.
Bassett Medical Center, Psychiatry Opd
Cooperstown, NY 13326
Phone (607) 547-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158279 | NY | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1437206554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE ATWELL RD.",
"address_2": "BASSETT MEDICAL CENTER, PSYCHIATRY OPD",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "13326",
"telephone_number": "607-547-3500",
"fax_number": "607-547-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE ATWELL RD.",
"address_2": "BASSETT MEDICAL CENTER, PSYCHIATRY OPD",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "13326",
"telephone_number": "607-547-3500",
"fax_number": "607-547-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "JUDITH",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "158279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cooperstown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.