Active NPI
Philip Davis Greenwood, PHD
- Marriage & Family Therapist
- Lynchburg, VA
National Provider Identifier
1497710131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0717000128
- Practice address
- 66 Timber Oak CT
Oakdale Circle
Lynchburg, VA 24502-3459 - Phone
- (434) 237-6236
- Fax
- (434) 237-9155
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701001150 | VA | |
| Marriage & Family Therapist | 106H00000X | 0717000128 | VA | Primary |
Addresses
Primary practice location
66 Timber Oak CT
Oakdale Circle
Lynchburg, VA 24502-3459
Mailing address
66 Timber Oak CT
Oakdale Circle
Lynchburg, VA 24502-3459
Phone (434) 237-6236
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032983 | Other | VA | BCBS |
| 291135000 | Other | VA | MAGELLAN |
| 088681 | Other | VA | SENTARA |
| 031181 | Other | VA | VALUE OPTIONS |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701001150 | VA | MD | Professional Counselor |
| 0717000128 | VA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1497710131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 TIMBER OAK CT",
"address_2": "OAKDALE CIRCLE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245023459",
"telephone_number": "434-237-6236",
"fax_number": "434-237-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 TIMBER OAK CT",
"address_2": "OAKDALE CIRCLE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245023459",
"telephone_number": "434-237-6236",
"fax_number": "434-237-9155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "PHILIP",
"middle_name": "DAVIS",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701001150",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717000128",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "032983",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "291135000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "088681",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "031181",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.