Dennis Greenberger, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY8533 Issued in CA

Practice address

1500 Quail St
Suite # 260
Newport Beach, CA 92660-2732

Phone

(949) 222-2848

Fax

(949) 863-1148

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• JLM Psychological Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newport Beach, CA
  • NPI 1003482423
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1861539009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 QUAIL ST",
            "address_2": "SUITE # 260",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602732",
            "telephone_number": "949-222-2848",
            "fax_number": "949-863-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 QUAIL ST",
            "address_2": "SUITE # 260",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602732",
            "telephone_number": "949-222-2848",
            "fax_number": "949-863-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERGER",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Green
• Robert Hyman Green, MD
• William James Green, M.D.
• Catou L Greenberg, M.D.
• Chiwami Greenberg, PSYD.
• Katherine L Greendale
• Greenleaf Neuro Technology, Inc
• Kelly Greenstreet, RD
• Brian Greenwald, CADC II
• Emily Kate Greenwald

• Clinical Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.