Michelle Marie Greene, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.007995 Issued in IL

Practice address

1653 W Congress Pkwy
245 Rawson Building
Chicago, IL 60612-3833

Phone

(312) 942-8598

NPI assigned

Dec 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: mgreene11262@direct.rush.rush-health.com

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1437452612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 W LELAND AVE",
            "address_2": "APT #2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253016",
            "telephone_number": "312-942-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "address_2": "245 RAWSON BUILDING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS PSYCHOLOGY LICENSE",
            "identifier": "071.007995",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Greene, M.D.
• Marianne Elizabeth Greene, M.D.
• Marvin Greene, D.D.S.
• Megan Greene, LCPC
• Melon Greene
• Minna Corwith Greene, MSW, LCSW
• Sarah Catherine Greene, MD
• Tess Greene, OTD
• Valencia Greene
• Vicki Greene, PSY.D.

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.