Active NPI
Judith Greenberger
- School Psychologist
- Shaker Heights, OH
National Provider Identifier
1720404742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SP494
- Practice address
- 23325 Wimbledon Rd
Shaker Heights, OH 44122-3163 - Phone
- (216) 295-4864
- NPI assigned
- Mar 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SP494 | OH | Primary |
Addresses
Primary practice location
23325 Wimbledon Rd
Shaker Heights, OH 44122-3163
Mailing address
3917 Wset Ash Lane
Orange, OH 44122
Phone (216) 295-4864
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP494 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394755200000",
"number": "1720404742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3917 WSET ASH LANE",
"city": "ORANGE",
"state": "OH",
"postal_code": "44122",
"telephone_number": "216-295-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23325 WIMBLEDON RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441223163",
"telephone_number": "216-295-4864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERGER",
"first_name": "JUDITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-14",
"last_updated": "2014-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "SP494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.