Individual provider Active NPI

Stephen S. Greene, PH.D.

  • Psychologist
  • Augusta, ME
National Provider Identifier
1598823569
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS1024 Issued in ME
Practice address
49 Oak St
Augusta, ME 04330-5118
Phone
(207) 649-4046
Fax
(207) 622-6290
NPI assigned
Dec 4, 2006
Last updated
Nov 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS1024 ME Primary

Addresses

Primary practice location

49 Oak St
Augusta, ME 04330-5118

Mailing address

138 Priest Hill Rd
Vassalboro, ME 04989-3305
Phone (207) 649-4046

Other identifiers 2

IdentifierTypeStateIssuer
ME025902OtherMEMEDICARE
191060100MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: No
  • 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
I20130723000884 SD Practitioner - Clinical Psychologist 6002719895 Reassigns benefits to 1 organization
Practice locations: Rapid City, SD; Custer, SD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS1024MEMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Scovel Psychological and Counseling Services, LTD Psychologist CurrentSince May 11, 2013 Accepting new patients
Suzanne White, LCSW Corp Past Accepting new patients
Holec and Young Eye Care, LLP Past Accepting new patients

Locations

2902 W Main St
Ste 2
Rapid City, SD 57702
Phone (605) 721-8822

Organizations & group practices 4

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1598823569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 PRIEST HILL RD",
            "city": "VASSALBORO",
            "state": "ME",
            "postal_code": "049893305",
            "telephone_number": "207-649-4046",
            "fax_number": "207-861-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OAK ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305118",
            "telephone_number": "207-649-4046",
            "fax_number": "207-622-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "STEPHEN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS1024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ME025902",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191060100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.