Active NPIIndividual providerSole proprietor

Dr. Diane M Greene, PHD

Psychologist, Clinical Child & Adolescent in Chestnut Hill, Massachusetts

NPI Number1093934812
Practice location
147 Wallis RD, Chestnut Hill, MA 02467-3112
Fax
508-349-2911
Last updated
July 8, 2007

Diane M. Greene is a Psychologist, Clinical Child & Adolescent based in Chestnut Hill, MA. Diane M. Greene practices in Chestnut Hill, MA and has the professional credentials of PHD. The NPI Number for Diane M. Greene is 1093934812 and holds a License No. 1988 (MA). The current practice location address for Diane M. Greene is 147 Wallis RD, Chestnut Hill, MA 02467-3112 and can be reached out via phone at 617-522-5553 and via fax at 508-349-2911.

Provider Profile Details

NPI Number
1093934812
Provider Name
Diane M. Greene
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
147 Wallis RD, Chestnut Hill, MA 02467-3112
Phone Number
617-522-5553
Fax Number
508-349-2911
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
Yes
Provider Enumeration Date
April 24, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
147 Wallis RD
Chestnut Hill, MA 02467-3112
Zip
02467-3112
Phone Number
617-522-5553
Fax Number
508-349-2911
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
15 Pheasant Run
Wellfleet, MA 02667-7027
City
Wellfleet
State
MA
Zip
02667-7027
Phone Number
508-349-0439
Fax Number
508-349-2911

License Information

License Number
1988
License State
MA
Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Diane M Greene, PHD?

The NPI number of Dr. Diane M Greene, PHD is 1093934812. It was assigned on April 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Diane M Greene, PHD?

Dr. Diane M Greene, PHD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in MA under license number 1988.

Where does Dr. Diane M Greene, PHD practice?

The practice location is 147 Wallis RD, Chestnut Hill, MA 02467-3112. The office can be reached at 617-522-5553 (phone) or 508-349-2911 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093934812 directly on the NPPES registry website.

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