Heath Greene, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3057 Issued in NC

Practice address

8025 N Point Blvd
Suite 231
Winston Salem, NC 27106-3262

Phone

(336) 896-0065

Fax

(336) 896-0710

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Associates in Christian Counseling

  • Clinical Psychologist
  • Winston Salem, NC
  • NPI 1609890268
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982718045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 N POINT BLVD",
            "address_2": "SUITE 231",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063262",
            "telephone_number": "336-896-0065",
            "fax_number": "336-896-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 N POINT BLVD",
            "address_2": "SUITE 231",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063262",
            "telephone_number": "336-896-0065",
            "fax_number": "336-896-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "HEATH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Marie Greenberg
• Greenbrook TMS Winston-Salem LLC
• Greendeal Homecare Service LLC
• Allison Christine Greene, MD
• Emily Taylor Greene, BSN-RN
• James Al Greene, CCS, LCAS
• Jennifer Greene, OTR/L
• Leah Michelle Greene, OCC. THERAPIST
• Michaela Greene, MS, CCC-SLP
• Greenleaf Medical Supply LLC

• Clinical Psychologist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.