NPIMap

Organization Active NPI

Eric Greene, PHD

  • Psychoanalysis Psychologist
  • Glendale, CA
National Provider Identifier
1952058554
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
Legal business name
ERIC GREENE, PHD
Practice address
124 Carr Dr Apt B
Glendale, CA 91205-5414
Phone
(310) 571-8904
NPI assigned
Mar 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Eric Greene, PHDNPI 1114567310
Title
Owner
Phone
(610) 639-3979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0814X Primary

Addresses

Primary practice location

124 Carr Dr Apt B
Glendale, CA 91205-5414

Mailing address

124 Carr Dr Apt B
Glendale, CA 91205-5414
Phone (310) 571-8904

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1952058554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CARR DR APT B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055414",
            "telephone_number": "310-571-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CARR DR APT B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055414",
            "telephone_number": "310-571-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC GREENE, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-639-3979",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.