Active NPI
Stephen S. Greene, PH.D.
- Psychologist
- Augusta, ME
National Provider Identifier
1598823569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS1024
- 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, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME025902 | Other | ME | MEDICARE |
| 191060100 | Medicaid | ME |
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
Enrollment records 1
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.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS1024 | ME | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scovel Psychological and Counseling Services, LTD | Psychologist | Current | 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.
-
- Psychologist
- Rapid City, SD
- NPI 1578744504
-
- Clinical Psychologist
- Augusta, ME
- NPI 1356697510
-
- Clinical Social Worker
- Augusta, ME
- NPI 1205182466
-
- Optometrist
- Rapid City, SD
- NPI 1225090459
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.