Active NPI
Rosalie Greenbaum, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1922149129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 981
- Practice address
- 530 E 72ND St
Penthouse C
New York, NY 10021-4855 - Phone
- (212) 734-0892
- Fax
- (212) 734-0892
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 981 | CT | Primary |
Addresses
Primary practice location
530 E 72ND St
Penthouse C
New York, NY 10021-4855
Mailing address
530 E 72ND St
Penthouse C
New York, NY 10021-4855
Phone (212) 734-0892
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 981 | CT | MD | Behavioral Analyst |
| 000971 | CT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1922149129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 E 72ND ST",
"address_2": "PENTHOUSE C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214855",
"telephone_number": "212-734-0892",
"fax_number": "212-734-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 E 72ND ST",
"address_2": "PENTHOUSE C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214855",
"telephone_number": "212-734-0892",
"fax_number": "212-734-0892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBAUM",
"first_name": "ROSALIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.