Individual provider Active NPI

Thomas M. Greaney, LADC, LCDP

  • Addiction (Substance Use Disorder) Counselor
  • New London, CT
National Provider Identifier
1881893105
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
629 Issued in CT
Practice address
260 S Frontage Rd Ste 204
New London, CT 06320-2637
Phone
(860) 912-2944
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 382 RI
Addiction (Substance Use Disorder) Counselor 101YA0400X
Addiction (Substance Use Disorder) Counselor 101YA0400X 629 CT Primary

Addresses

Primary practice location

260 S Frontage Rd Ste 204
New London, CT 06320-2637

Mailing address

PO Box 2504
Westerly, RI 02891-0925
Phone (860) 912-2944

Other practice location 1

26 Willow Street
Mystic, CT 06355
Phone (860) 912-2944

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
629CTMDAddiction (Substance Use Disorder) Counselor
382RIMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1881893105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2504",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028910925",
            "telephone_number": "860-912-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S FRONTAGE RD STE 204",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202637",
            "telephone_number": "860-912-2944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Willow Street",
            "address_purpose": "LOCATION",
            "city": "Mystic",
            "state": "CT",
            "postal_code": "06355",
            "country_code": "US",
            "telephone_number": "860-912-2944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREANEY",
        "first_name": "THOMAS",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "LADC, LCDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "382",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.