Individual provider Active NPI

Cynthia T Greywolf, DNP-PMHNP,BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1619996592
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP-03198 Issued in NM
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

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

OrganizationSpecialtyStatusNew patients
Greywolf Psychiatry Services PLLC CurrentSince Jun 4, 2010 Accepting new patients
Nova Psychiatric Services, PC PastSince Apr 14, 2018 Accepting new patients
Neurobehavioral Associates III, Inc PastSince May 25, 1999 Accepting new patients
Molokai Ohana Health Care, Inc. PastSince Nov 16, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.