Marni Greenberg, Psy.D. Clinical Psychologist PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY23970 Issued in CA

Legal business name

MARNI GREENBERG, PSY.D. CLINICAL PSYCHOLOGIST PC

Practice address

3990 Old Town Ave Ste A208
San Diego, CA 92110-2967

Phone

(858) 432-3290

Fax

(619) 228-9503

NPI assigned

Jun 12, 2016

Organization subpart

No

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

Authorized official

Name

Marni Greenberg, PSY.D.NPI 1215183975

Title

Owner

Phone

(858) 432-3290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marni Leah Greenberg, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1215183975
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1465689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465689600000",
    "number": "1861841645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 OLD TOWN AVE STE A208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102967",
            "telephone_number": "858-432-3290",
            "fax_number": "619-228-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 OLD TOWN AVE STE A208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102967",
            "telephone_number": "858-432-3290",
            "fax_number": "619-228-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARNI GREENBERG, PSY.D. CLINICAL PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-12",
        "last_updated": "2016-06-12",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "MARNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-432-3290",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie G Marmon, M.D.
• Ryan Marmon, IDC
• Rebecca Ann Marmor, M.D.
• Debra Marn, L.AC., RPH
• Daniel J Marnell, MD
• Jane A Marnocha, LCSW
• Lori Ann Marold, RN
• Alice Rose Marolla, DPT
• Marlene Khalil Maron, RPH
• John Marone

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.