Rufus Greene Jr., PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CTB-2022-0894 Issued in NM

Practice address

400 Gold Ave SW
Albuquerque, NM 87102-3283

Phone

(505) 224-9124

Fax

(505) 000-0000

NPI assigned

Nov 21, 2022

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1912616673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 HENDRIX RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101523",
            "telephone_number": "505-400-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GOLD AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023283",
            "telephone_number": "505-224-9124",
            "fax_number": "505-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "RUFUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2022-0894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deondralique Greene, NRCMA,CPT
• Diane Greene
• Heather Miranda Greene, M.D
• Luanne M Greene
• Luke Nathaniel Greene, D.D.S.
• Cami Lee Greenfield, MA, (LPCC)
• Shonn Greengrass
• Thomas Greenleaf
• Marie Greenspan, PHD, MSCP
• Margaret Greenwood-Ericksen, MD

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.