Chiwami Greenberg, PSYD.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY17092 Issued in CA

Practice address

4425 Jamboree Rd
Ste 173
Newport Beach, CA 92660-3010

Phone

(714) 357-5110

NPI assigned

Aug 31, 2006

Last updated

Oct 19, 2017By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1881705887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RIVAGE",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926570100",
            "telephone_number": "949-760-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 JAMBOREE RD",
            "address_2": "STE 173",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603010",
            "telephone_number": "714-357-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "CHIWAMI",
        "name_prefix": "Dr.",
        "credential": "PSYD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clare A Green, DO
• Jacob Green
• Robert Hyman Green, MD
• William James Green, M.D.
• Catou L Greenberg, M.D.
• Dennis Greenberger, PH.D.
• Katherine L Greendale
• Greenleaf Neuro Technology, Inc
• Kelly Greenstreet, RD
• Brian Greenwald, CADC II

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.