Individual provider Active NPI

Robert Clifford Greenberg, M.F.T.

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1891979423
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 21447 Issued in CA
Practice address
865 3Rd St Ste 101
Santa Rosa, CA 95404-4518
Phone
(707) 579-7928
Fax
(707) 824-0911
NPI assigned
Dec 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 21447 CA Primary

Addresses

Primary practice location

865 3Rd St Ste 101
Santa Rosa, CA 95404-4518

Mailing address

865 3Rd St Ste 101
Santa Rosa, CA 95404-4518
Phone (707) 579-7928

Other names 1

  • Robert Clifford Greenberg Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 29, 2025 through Mar 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 21447CAMDMarriage & Family Therapist
21447CAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1891979423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 3RD ST STE 101",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044518",
            "telephone_number": "707-579-7928",
            "fax_number": "707-824-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 3RD ST STE 101",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044518",
            "telephone_number": "707-579-7928",
            "fax_number": "707-824-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ROBERT",
        "middle_name": "CLIFFORD",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 21447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "GREENBERG",
            "middle_name": "CLIFFORD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.