Rebecca Clark Greenwald, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

17655 Issued in CA

Practice address

60 Bella Vista Ave
San Anselmo, CA 94960-2007

Phone

(415) 446-8266

NPI assigned

Apr 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rebecca Clark Foote Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1598347676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BELLA VISTA AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602007",
            "telephone_number": "415-446-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BELLA VISTA AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602007",
            "telephone_number": "415-446-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "REBECCA",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "17655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "FOOTE",
            "middle_name": "CLARK",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ed J Goebel II, RPH
• Rosemarie Goldstein, DDS
• Pearlyn Goodman-Herrick, ND
• Heather Erica Gosilner, RN, PHN
• Juhi Goswamy, M.D., M.P.H.
• Nancy Ilene Gump, MFT
• Eric V Haney, DDS, MS
• Sarah Rachel Harnsberger
• Larry Harrison, O.D.
• Derek Hart, COUNSELOR

• Clinical Psychologist in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.