DR. GARY GREENBERG PH.D.
NPI 1386650513
Counselor - Professional in New London, CT
About Dr. Gary Greenberg Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GARY GREENBERG PH.D. (NPI 1386650513) is an individual professional provider in New London, Connecticut, licensed in Connecticut (00114) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Gary Greenberg Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW LONDON, CT 06320
NEW LONDON, CT 06320
NEW LONDON, CT 06320
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 Gary Greenberg's NPI number?
The NPI number for Gary Greenberg is 1386650513. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is Gary Greenberg located?
Gary Greenberg practices at 400 Bayonet St, New London, CT 06320. The listed phone number is (860) 443-4163.
What is Gary Greenberg's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Gary Greenberg enrolled in Medicare?
Yes. Gary Greenberg is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Gary Greenberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Gary Greenberg, PH.D. · NPI 1386650513
Professional provider in New London, Connecticut. Individual provider, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1386650513 (Entity type: Individual)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 00114 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 400 BAYONET ST, New London, CT 06320-2600
- **Phone:** (860) 443-4163
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Other 240000114CT01 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1386650513) · Data from the CMS NPPES public registry.