Individual provider Active NPI

Darreon Darrell Greer Sr., PH.D.

  • Clinical Psychologist
  • Dayton, OH
National Provider Identifier
1447742895
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P.08229 Issued in OH
Practice address
3320 W 3Rd St
Dayton, OH 45417-1814
Phone
(937) 640-1679
NPI assigned
Jun 1, 2018
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P.08229 OH Primary
Counseling Psychologist 103TC1900X NU

Addresses

Primary practice location

3320 W 3Rd St
Dayton, OH 45417-1814

Mailing address

6700 Wealthy LN
Dublin, OH 43016-7840
Phone (615) 738-8668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318003059 OH Practitioner - Clinical Psychologist 4981058989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness and Resilience Center LLCGroup PAC ID 6406200492, 2 clinicians

Practice addresses (Care Compare)

51 Best St
FL 3
Dayton, OH 45405-4906
Phone (937) 673-6988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P.08229OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness and Resilience Center LLC CurrentSince Jan 3, 2024 Accepting new patients
Wellness and Resilience Center LLC CurrentSince Jan 3, 2024 Accepting new patients
Sunlight Village Inc Mental Health PastSince Apr 9, 2023 Accepting new patients

Locations

51 Best St
Fl 3
Dayton, OH 45405
Phone (937) 673-6988

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1447742895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WEALTHY LN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167840",
            "telephone_number": "615-738-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454171814",
            "telephone_number": "937-640-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "DARREON",
        "middle_name": "DARRELL",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.08229",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.