Active NPI
Adena Joy Greenberg, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1962730036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6974
- Practice address
- 145 W 86TH St
Suite 1D
New York, NY 10024-3406 - Phone
- (212) 362-2903
- Fax
- (212) 496-7885
- NPI assigned
- Nov 30, 2009
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6974 | NY | Primary |
Addresses
Primary practice location
145 W 86TH St
Suite 1D
New York, NY 10024-3406
Mailing address
145 W 86TH St
Suite 1D
New York, NY 10024-3406
Phone (212) 362-2903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 27, 2021 through May 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6974 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1962730036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 W 86TH ST",
"address_2": "SUITE 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243406",
"telephone_number": "212-362-2903",
"fax_number": "212-496-7885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 W 86TH ST",
"address_2": "SUITE 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243406",
"telephone_number": "212-362-2903",
"fax_number": "212-496-7885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "ADENA",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-30",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "6974",
"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 Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.