DR. MICHAEL JOEL GREENBERG PHD
NPI 1194229914
Psychologist - Clinical in Los Angeles, CA

Active since March 19, 2018Opted out of Medicare · through Jul 1, 2027
1060 S SHERBOURNE DR APT 308, LOS ANGELES, CA 90035(347) 752-0594 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2020, Mar 19, 2018 (2 updates tracked since 2018).

About Dr. Michael Joel Greenberg Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL JOEL GREENBERG PHD (NPI 1194229914) is an individual clinical provider in Los Angeles, California, licensed in New York (022587-1) and active in the NPI registry since March 2018. He has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1194229914
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHAEL JOEL GREENBERGCredential: PHD
Location Address1060 S SHERBOURNE DR APT 308Los Angeles, CA 90035-2145
Mailing Address1060 S Sherbourne Dr Apt 308Los Angeles, CA 90035-2145 · (347) 752-0594
Sole ProprietorYes
Enumeration DateMarch 19, 2018
Last NPPES UpdateMay 20, 20202 updates tracked since enumeration
NPPES CertifiedMay 20, 2020
NPI 1194229914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 022587-1
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 022587-1 (NY)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 022587-1 (NY)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 022587-1 (NY)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 022587-1 (NY)
1060 S SHERBOURNE DR APT 308, Los Angeles, CA 90035

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Michael Joel Greenberg Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2021 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2021
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1060 S SHERBOURNE DR APT 308
LOS ANGELES, CA 90035
Counselor (Professional)
1060 S SHERBOURNE DR APT 308
LOS ANGELES, CA 90035
Psychologist (Clinical)
1060 S SHERBOURNE DR APT 308
LOS ANGELES, CA 90035
Social Worker (Clinical)
1060 S SHERBOURNE DR APT 308
LOS ANGELES, CA 90035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Greenberg's NPI number?

The NPI number for Michael Greenberg is 1194229914. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Michael Greenberg located?

Michael Greenberg practices at 1060 S Sherbourne Dr Apt 308, Los Angeles, CA 90035. The listed phone number is (347) 752-0594.

What is Michael Greenberg's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michael Greenberg enrolled in Medicare?

No. Michael Greenberg has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michael Greenberg was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.