Brittany Greenbaum, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34004 Issued in CA

Practice address

1611 S Melrose Dr Ste A162
Vista, CA 92081-5407

Phone

(319) 359-7103

NPI assigned

Apr 3, 2013

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Athc Psychology, PLLC

  • Adult Mental Health Clinic/Center
  • Iowa City, IA
  • NPI 1578227765
  NPD Authorized official
• Baum Psychology PC

  • Clinical Psychologist
  • Vista, CA
  • NPI 1720801582
  NPD
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1346463932
  NPD (past)
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1952328700

  Clinical

  NPD (past)

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1699018143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S MELROSE DR STE A162",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920815407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S MELROSE DR STE A162",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920815407",
            "telephone_number": "319-359-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "BRITTANY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2013-04-03",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "105550",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Expectations Services Inc
• Great Expectations Services Inc
• Green Health Alternative Care Center
• Green Health Alternative Care Center
• Janet E Green, LCSW
• Aaron Greenberg
• Joan Louise Greene, RN
• Kathryn Greene, LCSW
• Akemi M Gregg, RN
• Gregory L & Maria E. Thomas Dba a-1 Healthcare Center

• Clinical Psychologist in Vista, CA
• Providers in Vista, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.