Active NPI
Scott David Michael Greenman, D.O.
- Psychiatry Physician
- Mesa, AZ
National Provider Identifier
1730613449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- S1111
- Practice address
- 4135 S Power Rd Ste 103
Mesa, AZ 85212-3625 - Phone
- (602) 222-2752
- NPI assigned
- Apr 19, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | S1111 | TX | Primary |
Addresses
Primary practice location
4135 S Power Rd Ste 103
Mesa, AZ 85212-3625
Mailing address
4135 S Power Rd Ste 103
Mesa, AZ 85212-3625
Phone (602) 222-2752
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1111 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1730613449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4135 S POWER RD STE 103",
"city": "MESA",
"state": "AZ",
"postal_code": "852123625",
"telephone_number": "602-222-2752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4135 S POWER RD STE 103",
"city": "MESA",
"state": "AZ",
"postal_code": "852123625",
"telephone_number": "602-222-2752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENMAN",
"first_name": "SCOTT",
"middle_name": "DAVID MICHAEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-19",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "S1111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.