R. Boris Greenberg, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC21446 Issued in CA

Practice address

4629 Conchita Way
Tarzana, CA 91356-4905

Phone

(818) 708-3358

Fax

(818) 708-7667

NPI assigned

Jul 20, 2006

Sex

Male

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)

Not 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.

• Jro Associates

  • Marriage & Family Therapist
  • Tarzana, CA
  • NPI 1851683627
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720008170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 CONCHITA WAY",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564905",
            "telephone_number": "818-708-3358",
            "fax_number": "818-708-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4629 CONCHITA WAY",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564905",
            "telephone_number": "818-708-3358",
            "fax_number": "818-708-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "R.",
        "middle_name": "BORIS",
        "name_prefix": "Miss",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC21446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE FOR MFC",
            "identifier": "MFC21446",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Grayson
• Helen Marcia Grebow, PH.D., PSY.D.
• Green Path Psychiatric Nursing Practitioner Services, Inc.
• Vincent Wei-Sheng Green, M.D.
• Brian K Greenberg, M.D.
• Andrea Whitney Greene, MPH
• Carol V Greene, NNP
• Sienna Lee Greener-Wooten, MA, BCBA
• Jason Lawrence Greenspan, M.D.
• Greg S. Khounganian, MD, Inc

• Mental Health Counselor in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Mental Health Counselor in California

• 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.