DR. DARRELL CORY GREENE PH.D.
NPI 1821153560
Psychologist in New York, NY

Active since December 22, 2006Opted out of Medicare · through Apr 1, 2027
1123 BROADWAY STE 916, NEW YORK, NY 10010(212) 929-5978(646) 478-9404 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Darrell Cory Greene Ph.d. NPPES

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

DR. DARRELL CORY GREENE PH.D. (NPI 1821153560) is an individual psychologist in New York, New York, licensed in New York (012091-1) and active in the NPI registry since December 2006. He has opted out of Medicare through April 1, 2027 and maintains a secondary practice location in Richmondville.

NPPES Registry Identity

NPI1821153560
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. DARRELL CORY GREENECredential: PH.D.
Location Address1123 BROADWAY STE 916New York, NY 10010-2007
Mailing Address444 Beards Hollow RdRichmondville, NY 12149-3407 · (917) 421-0954 · Fax (646) 478-9404
Fax(646) 478-9404
Sole ProprietorYes
Enumeration DateDecember 22, 2006
Last NPPES UpdateDecember 18, 2020
NPPES CertifiedDecember 18, 2020
NPI 1821153560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 012091-1
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 012091-1 (NY)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 012091-1 (NY)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 012091-01 (NY)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 012091-1 (NY)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 012091-1 (NY)
1123 BROADWAY STE 916, New York, NY 10010

Secondary Practice Location 1

Location 1444 Beards Hollow RdRichmondville, NY 12149-3407 · Phone (917) 864-3664

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. Darrell Cory Greene Ph.d. 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 April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Darrell Greene's NPI number?

The NPI number for Darrell Greene is 1821153560. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Darrell Greene located?

Darrell Greene practices at 1123 Broadway Ste 916, New York, NY 10010. The listed phone number is (212) 929-5978.

What is Darrell Greene's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Darrell Greene enrolled in Medicare?

No. Darrell Greene has opted out of Medicare through April 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 Darrell Greene was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.