Active NPI
Stuart J. Greif, PSY.D.
- Clinical Psychologist
- Lakeland, FL
National Provider Identifier
1881626521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 3817
- Practice address
- 6700 S Florida Ave
Suite 13
Lakeland, FL 33813-3327 - Phone
- (863) 648-0500
- Fax
- (863) 644-9015
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 3817 | FL | Primary |
Addresses
Primary practice location
6700 S Florida Ave
Suite 13
Lakeland, FL 33813-3327
Mailing address
4301 E Knights Griffin Rd
Plant City, FL 33565-2217
Phone (813) 754-1105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 3817 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881626521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 E KNIGHTS GRIFFIN RD",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335652217",
"telephone_number": "813-754-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 S FLORIDA AVE",
"address_2": "SUITE 13",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338133327",
"telephone_number": "863-648-0500",
"fax_number": "863-644-9015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREIF",
"first_name": "STUART",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 3817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.