Organization Active NPI

Johnathan C Greenfield MD PA

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1881835726
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME81326 Issued in FL
Legal business name
JOHNATHAN C GREENFIELD MD PA
Practice address
2151 45TH St
Suite 108
West Palm Beach, FL 33407-2026
Phone
(561) 881-0889
Fax
(561) 881-0669
NPI assigned
Mar 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Mrs. Glenda M Boraiko
Title
Office Manager
Phone
(561) 881-0889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME81326 FL Primary

Addresses

Primary practice location

2151 45TH St
Suite 108
West Palm Beach, FL 33407-2026

Mailing address

20423 State Road 7
F6306
Boca Raton, FL 33498-6797
Phone (561) 881-0889

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1881835726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20423 STATE ROAD 7",
            "address_2": "F6306",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986797",
            "telephone_number": "561-881-0889",
            "fax_number": "561-881-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 45TH ST",
            "address_2": "SUITE 108",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072026",
            "telephone_number": "561-881-0889",
            "fax_number": "561-881-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNATHAN C GREENFIELD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "BORAIKO",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-881-0889",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME81326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.