Individual provider Active NPI

Danielle Lee Greg, PSY.D

  • Clinical Psychologist
  • Calabasas, CA
National Provider Identifier
1619237583
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY25007 Issued in CA
Practice address
23801 Calabasas Rd Ste 1003
Calabasas, CA 91302-1554
Phone
(310) 295-7190
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY25007 CA Primary

Addresses

Primary practice location

23801 Calabasas Rd Ste 1003
Calabasas, CA 91302-1554

Mailing address

23801 Calabasas Rd Ste 1003
Calabasas, CA 91302-1554
Phone (310) 295-7190

Other names 1

  • Danielle Lee Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2014 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY25007CAMDClinical Psychologist
25007CAMDAmbulatory Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1619237583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23801 CALABASAS RD STE 1003",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021554",
            "telephone_number": "310-295-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23801 CALABASAS RD STE 1003",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021554",
            "telephone_number": "310-295-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREG",
        "first_name": "DANIELLE",
        "middle_name": "LEE",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "DAVIS",
            "middle_name": "LEE",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.