Active NPI
Jenna Nicole Greku, M.ED., ED.S.,
- School Psychologist
- Alliance, OH
National Provider Identifier
1982129755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- OH3256265
- Practice address
- 1490 Parkway Blvd
Alliance, OH 44601-3806 - Phone
- (330) 829-2264
- NPI assigned
- Aug 14, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | OH3256265 | OH | Primary |
Addresses
Primary practice location
1490 Parkway Blvd
Alliance, OH 44601-3806
Mailing address
3771 Chestnut RDG
Louisville, OH 44641-8800
Phone (330) 205-7941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GREK177 | Medicaid | OH |
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)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH3256265 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502668800000",
"number": "1982129755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3771 CHESTNUT RDG",
"city": "LOUISVILLE",
"state": "OH",
"postal_code": "446418800",
"telephone_number": "330-205-7941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 PARKWAY BLVD",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446013806",
"telephone_number": "330-829-2264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREKU",
"first_name": "JENNA",
"middle_name": "NICOLE",
"credential": "M.ED., ED.S.,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-14",
"last_updated": "2017-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "OH3256265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GREK177",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alliance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.