Greenleaf Neuro Technology, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GREENLEAF NEURO TECHNOLOGY, INC

Practice address

1101 Grove LN
Newport Beach, CA 92660-5644

Phone

(888) 851-3677

Fax

(888) 851-3671

NPI assigned

Dec 22, 2022

Last updated

Dec 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aisha Bailey

Title

Billing Administrator

Phone

(914) 426-3760

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1982316824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 GROVE LN",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605644",
            "telephone_number": "888-851-3677",
            "fax_number": "888-851-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GROVE LN",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605644",
            "telephone_number": "888-851-3677",
            "fax_number": "888-851-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF NEURO TECHNOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "AISHA",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "914-426-3760"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William James Green, M.D.
• Catou L Greenberg, M.D.
• Chiwami Greenberg, PSYD.
• Dennis Greenberger, PH.D.
• Katherine L Greendale
• Kelly Greenstreet, RD
• Brian Greenwald, CADC II
• Emily Kate Greenwald
• Megan Kate Greenya, AU.D.
• Greg Barme MD Inc.

• Specialist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.