Active NPI
Greenpath Clinic
- Psychologist
- Wheaton, IL
National Provider Identifier
1770967564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- GREENPATH CLINIC
- Practice address
- 1749 S Naperville Rd Ste 207
Wheaton, IL 60189-5892 - Phone
- (630) 460-6733
- NPI assigned
- Jul 13, 2015
- Last updated
- Jul 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Olga Roshior, D.C.
- Title
- Owner
- Phone
- (630) 460-6733
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary | |
| Chiropractor | 111N00000X | NU | ||
| Family Medicine Physician | 207Q00000X | NU |
Addresses
Primary practice location
1749 S Naperville Rd Ste 207
Wheaton, IL 60189-5892
Mailing address
1749 S Naperville Rd Ste 207
Wheaton, IL 60189-5892
Phone (630) 460-6733
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Wheaton, IL
- NPI 1558496802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436745600000",
"number": "1770967564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 S NAPERVILLE RD STE 207",
"city": "WHEATON",
"state": "IL",
"postal_code": "601895892",
"telephone_number": "630-460-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 S NAPERVILLE RD STE 207",
"city": "WHEATON",
"state": "IL",
"postal_code": "601895892",
"telephone_number": "630-460-6733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENPATH CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-13",
"last_updated": "2015-07-13",
"status": "A",
"authorized_official_last_name": "ROSHIOR",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-460-6733",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.