Gloria Greenidge, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

003498 Issued in CT

Practice address

6 Business Park Dr
Suite 203a
Branford, CT 06405-2988

Phone

(203) 506-5372

Fax

(203) 483-6400

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Psychiatric Consultants LLC

  • Psychiatry Physician
  • Branford, CT
  • NPI 1194742957
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699852376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HOMESIDE AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK DR",
            "address_2": "SUITE 203A",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052988",
            "telephone_number": "203-506-5372",
            "fax_number": "203-483-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENIDGE",
        "first_name": "GLORIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "003498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "003498",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Goodrich, LCSW
• Marion S Grabowy, MD
• Darleen J Gracia, PSYD
• Karen A Gratrix, L.C.S.W.
• Jordan A. Greenberg, DDS
• Mallory Anne Grimste, LCSW
• Jordan A Gruskay, M.D.
• Katherine Wargo Gruskay, PNP
• Lucy Ling Gu, PHD
• Louis Guerrera Jr., RN

• Mental Health Counselor in Branford, CT
• Providers in Branford, CT by specialty
• Mental Health Counselor in Connecticut

• 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.