Phyllis Greene, MFT, LCSW

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT9287 Issued in CA

Practice address

908 Tulare Ave
Albany, CA 94707-2112

Phone

(510) 526-5515

NPI assigned

Feb 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1942449954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 TULARE AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947072112",
            "telephone_number": "510-526-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 TULARE AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947072112",
            "telephone_number": "510-526-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "PHYLLIS",
        "name_prefix": "Ms.",
        "credential": "MFT, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS5439",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT9287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Susan Gordon, LMFT
• Janet Fern Gorewitz, PH.D.
• Jamal Lawrence Granick, MFT
• Michael A Gray, PH.D.
• David Green
• Eric Greenleaf, ERIC GREENLEAF, PHD
• Jeanmarie Grieco, MA
• Marissa Grimes
• Tedra Grogans
• Jonothon E Gross, MD

• Marriage & Family Therapist in Albany, CA
• Providers in Albany, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.