Suzan Beth Greenberg, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS004798L Issued in PA

Practice address

146 Montgomery Ave
Suite 301
Bala Cynwyd, PA 19004-2956

Phone

(215) 735-3540

Fax

(610) 668-1992

NPI assigned

Jul 18, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1790940740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MONTGOMERY AVE",
            "address_2": "SUITE 301",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042956",
            "telephone_number": "215-735-3540",
            "fax_number": "610-668-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MONTGOMERY AVE",
            "address_2": "SUITE 301",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042956",
            "telephone_number": "215-735-3540",
            "fax_number": "610-668-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "SUZAN",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS004798L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Home Health Services (The GRAND HHS)
• Greater Philadelphia Weight Loss and Family Medicine Inc.
• Greater Than Nursing LLC
• Timothy Marc Greco, MD, FACS
• Marvin H Greenbaum, M.D.
• Kellie Greene, LMT, CMMP
• Tierney Greene, LSW
• Greenlee Home Care Services
• Mark Greenwood, MPT
• Mary Elizabeth Griffin, DO

• Clinical Psychologist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.