Individual provider Active NPI

Judy Pearl Greenberger, LMFT, RN, MSN, HNC

  • Marriage & Family Therapist
  • Merrick, NY
National Provider Identifier
1679624274
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000370 Issued in NY
Practice address
1981 Bayberry Ave
Merrick, NY 11566-5554
Phone
(516) 623-3023
Fax
(516) 623-3023
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000370 NY Primary

Addresses

Primary practice location

1981 Bayberry Ave
Merrick, NY 11566-5554

Mailing address

1981 Bayberry Ave
Merrick, NY 11566-5554
Phone (516) 623-3023

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)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
000370NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679624274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 BAYBERRY AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665554",
            "telephone_number": "516-623-3023",
            "fax_number": "516-623-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 BAYBERRY AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665554",
            "telephone_number": "516-623-3023",
            "fax_number": "516-623-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERGER",
        "first_name": "JUDY",
        "middle_name": "PEARL",
        "credential": "LMFT, RN, MSN, HNC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.