Leilani Lani Greening, PHD

Key facts

NPI

1477579167

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

46747 (MS)

Practice address

2500 N State St
Jackson, MS 39216-4500

Phone

(601) 984-5808

Fax

(601) 815-4710

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Philosophy

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 21, 2012.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1477579167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5808",
            "fax_number": "601-815-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5808",
            "fax_number": "601-815-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENING",
        "first_name": "LEILANI",
        "middle_name": "LANI",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "46747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03132221",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "302I623569",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

• John Franklin Green, M.D.
• Kiarra Green, CTRS
• Roderick Green, PMHNP
• Virginia Little Green, M.D.
• Dallas Alexander Greene
• Christopher Edmund Greenleaf, M.D., M.B.A.
• Prisca Evelyn Greenwood, M.A
• Angela Cherwyn Greer, PHARM.D.
• Katharine T. Gregg, MD
• Margaret Miles Gregg, NP

All providers in Jackson, MS · Clinical Psychologist in Mississippi