Active NPI
Cynthia T Greywolf, DNP-PMHNP,BC
- Psychiatric/Mental Health Nurse Practitioner
- Santa Fe, NM
National Provider Identifier
1619996592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP-03198
- Practice address
- 901 W Alameda St Ste 25
Santa Fe, NM 87501 - Phone
- (505) 988-8869
- Fax
- (505) 982-6298
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP-03198 | NM | Primary |
Addresses
Primary practice location
901 W Alameda St Ste 25
Santa Fe, NM 87501
Mailing address
901 W Alameda St Ste 25
Santa Fe, NM 87501-1673
Phone (505) 988-8869
Other practice location 1
1001 W Broadway
Farmington, NM 87401-5638
Phone (505) 566-0338
Other practice location 2
1001 W Broadway
Farmington, NM 87401-5638
Phone (505) 566-0338
Other practice location 3
30 Oki Place
Kaunakakai, HI 96748-2040
Phone (808) 553-5038
Other names 1
- Cynthia Taylor
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greywolf Psychiatry Services PLLC | Current | Accepting new patients | |
| Nova Psychiatric Services, PC | Past | Accepting new patients | |
| Neurobehavioral Associates III, Inc | Past | Accepting new patients | |
| Molokai Ohana Health Care, Inc. | Past | Accepting new patients |
Interoperability endpoints
- cynthia.greywolf@hawaiihie.medicity.net
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Westborough, MA
- NPI 1700106440
-
- Federally Qualified Health Center (FQHC)
- Kaunakakai, HI
- NPI 1336805621
-
- Geriatric Psychiatry Physician
- Weymouth, MA
- NPI 1205926946
-
- Community/Behavioral Health Agency
- Quincy, MA
- NPI 1881782522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1619996592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W ALAMEDA ST STE 25",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875011673",
"telephone_number": "505-988-8869",
"fax_number": "505-982-6298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W ALAMEDA ST STE 25",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87501",
"telephone_number": "505-988-8869",
"fax_number": "505-982-6298"
}
],
"practiceLocations": [
{
"address_1": "1001 W Broadway",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874015638",
"country_code": "US",
"telephone_number": "505-566-0338",
"fax_number": "505-325-9113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 W Broadway",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874015638",
"country_code": "US",
"telephone_number": "505-566-0338",
"fax_number": "505-325-9113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 Oki Place",
"address_purpose": "LOCATION",
"city": "Kaunakakai",
"state": "HI",
"postal_code": "967482040",
"country_code": "US",
"telephone_number": "808-553-5038",
"fax_number": "808-553-3780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREYWOLF",
"first_name": "CYNTHIA",
"middle_name": "T",
"credential": "DNP-PMHNP,BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "CNP-03198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "TAYLOR",
"credential": "DNP-PMHNP, BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.