JILLIAN GREENE PSYCHOLOGIST A PROFESSIONAL CORPORATION
NPI 1750933354
Clinic/Center - Mental Health (Including Community Mental Health Center) in Los Angeles, CA

Active since July 12, 2019
177 S MANSFIELD AVE, LOS ANGELES, CA 90036(323) 821-8194 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 28, 2019, Jul 12, 2019 (2 updates tracked since 2019).

About Jillian Greene Psychologist A Professional Corporation NPPES

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

JILLIAN GREENE PSYCHOLOGIST A PROFESSIONAL CORPORATION (NPI 1750933354) is a healthcare organization registered as a mental health (including community mental health center) in Los Angeles, California and active in the NPI registry since July 2019. The organization lists Jillian Greene, President, as its authorized official.

NPPES Registry Identity

NPI1750933354
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJILLIAN GREENE PSYCHOLOGIST A PROFESSIONAL CORPORATION
Location Address177 S MANSFIELD AVELos Angeles, CA 90036-3018
Mailing Address177 S Mansfield AveLos Angeles, CA 90036-3018 · (323) 821-8194
Organization SubpartNo
Authorized OfficialJillian GreenePresident · (323) 821-8194
Enumeration DateJuly 12, 2019
Last NPPES UpdateFebruary 25, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1750933354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
177 S MANSFIELD AVE, Los Angeles, CA 90036

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jillian Greene Psychologist A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jillian Greene Psychologist A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1164977054
177 S MANSFIELD AVE
Los Angeles, CA 90036
(323) 821-8194
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jillian Greene Psychologist A Professional Corporation's NPI number?

The NPI number for Jillian Greene Psychologist A Professional Corporation is 1750933354. It was assigned to this organization in the NPPES registry on July 12, 2019.

Where is Jillian Greene Psychologist A Professional Corporation located?

Jillian Greene Psychologist A Professional Corporation is located at 177 S Mansfield Ave, Los Angeles, CA 90036. The listed phone number is (323) 821-8194.

What is Jillian Greene Psychologist A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Jillian Greene Psychologist A Professional Corporation enrolled in Medicare?

Yes. Jillian Greene Psychologist A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jillian Greene Psychologist A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jillian Greene Psychologist A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jillian Greene Psychologist A Professional Corporation was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.