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DR. GLEN DAVID GREENBERG PHD NPI 1336119346


NPI Information

NPI: 1336119346
Provider Name: DR. GLEN DAVID GREENBERG, PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
774 CHRISTIANA RD STE 201A
NEWARK, DE
ZIP 19713
Phone: (610) 566-0501
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DR. Glen David Greenberg, PHD is a clinical neuropsychologist in Newark, DE with 38 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Glen David Greenberg, PHD NPI is 1336119346. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

774 CHRISTIANA RD STE 201A
NEWARK, DE
ZIP 19713-221
Phone: (610) 566-0501
Fax: (610) 566-0502

The NPI 1336119346 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Neuropsychological testing, interpretation, and report by psychologist or physician per hour (HCPCS:96118)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 1/23/2006 and was last updated on 4/30/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistB1 0000441DELAWAREYes
2103G00000XClinical NeuropsychologistPS 004797-LPENNSYLVANIANo
3103TC0700XPsychologistClinicalPS 004797-LPENNSYLVANIANo
4103TC0700XPsychologistClinicalB1 0000441DELAWARENo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001187272003MEDICAIDPENNSYLVANIA
23350135OTHERAETNA
30427479000OTHERAMERIHEALTH
41000033037OTHERDELAWARE PHYSICIANS CARE
5001661440OTHERBS PERSONAL CHOICE
61000033037MEDICAIDDELAWARE
7214951OTHERCOMPPSYCH
8221962OTHERVALUE OPTIONS
90488565000OTHERMAGELLAN
1070659OTHERCIGNA BEHAVIORAL HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.