Samuel Greenblatt, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

024318 Issued in NY

Practice address

137 E 36TH St
New York, NY 10016-3528

Phone

(212) 686-6886

NPI assigned

Jun 2, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1881260586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 WARREN ST APT 105",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172721",
            "telephone_number": "201-280-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E 36TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163528",
            "telephone_number": "212-686-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBLATT",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cognitivebehavioralcenter.com/",
            "affiliation": "N",
            "endpointDescription": "Homepage",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Webpage",
            "address_1": "137 E 36th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100163528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pearl Greenberger, PH.D., LCSW
• Edward Robert Greenblatt, PH.D.
• Gregg Greenblatt, D.P.M.
• Matthew Blake Greenblatt, M.D., PH.D.
• Rena Matison Greenblatt, PHD
• Steven Mark Greenblatt, P.T.
• Kimberly Pam Greenburg, MS, RD, CDN
• Danielle Magen Greendyk, LCSW
• Richard Adrian Greendyk
• William Garrett Greendyke, MD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.