Benjamin Greenzweig

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD93270 Issued in SC

Practice address

1086 London St Ste B
Myrtle Beach, SC 29577-5761

Phone

(646) 812-5906

NPI assigned

Sep 26, 2024

Sex

Male

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

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.

• Living Water Mental Health Brain Treatment Center

  • Psychiatry Physician
  • Myrtle Beach, SC
  • NPI 1922829365
  NPD Authorized official

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1740008028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 LONDON ST STE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775761",
            "telephone_number": "646-812-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 LONDON ST STE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775761",
            "telephone_number": "646-812-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENZWEIG",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "MD93270",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "MD93270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Green, RD
• James Chad Greene, MD
• Jessica Yvonne Greene, LPC
• William R Greene, M.D.
• Joyce A. Greeno, LPN
• Alexis Gregorio-Snyder, MD
• Alexis Elizabeth Gregory, CERTIFIED NURSE AIDE
• Dorothy Gregory
• Jaime C Gremillion, CRNA
• Sarah Marie Gremmell

• Psychiatry Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.