Active NPI
Richard M Greene, PSYD
- Clinical Psychologist
- Sebastian, FL
National Provider Identifier
1982680534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6929
- Practice address
- 1515 US Highway 1
Suite 201
Sebastian, FL 32958-1612 - Phone
- (772) 589-7680
- Fax
- (772) 589-9294
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6929 | FL | Primary |
Addresses
Primary practice location
1515 US Highway 1
Suite 201
Sebastian, FL 32958-1612
Mailing address
1515 US Highway 1
Suite 201
Sebastian, FL 32958-1612
Phone (772) 589-7680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74155 | Other | FL | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6929 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Cheries Psy D PL | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Sebastian, FL
- NPI 1285769232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1982680534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 US HIGHWAY 1",
"address_2": "SUITE 201",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329581612",
"telephone_number": "772-589-7680",
"fax_number": "772-589-9294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 US HIGHWAY 1",
"address_2": "SUITE 201",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329581612",
"telephone_number": "772-589-7680",
"fax_number": "772-589-9294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "RICHARD",
"middle_name": "M",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "6929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "74155",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sebastian, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.