MS. THERESA MARIE GREENLEE (NPI# 1467731836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467731836 |
| Entity Type | Individual |
| Full Name | MS. THERESA MARIE GREENLEE |
| Other Name | MRS. THERESA GREENLEE ELLIS |
| Credential | PSY.D. |
| Practice Address |
494 S Emerson Ave Ste C Greenwood IN 46143-1953 |
| Mailing Address |
494 S Emerson Ave Ste C Greenwood IN 46143-1953 |
| Practice Telephone | 9377765012 |
| Practice Fax Number | 3178893902 |
| Mailing Telephone | 9377765012 |
| Mailing Fax Number | 3178893902 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2016-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 99048259A | IN | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
99048259A | IN | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
99048259A | IN | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
99048259A | IN | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 99048259A | IN | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
99048259A | IN | Behavioral Health & Social Service Providers |
| Street Address |
494 S EMERSON AVE STE C |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720277536 | Eileen W. Proctor | Psychologist | 4513 Edgewater Dr, Greenwood, CA 95635-9635 | 2007-10-17 |
| 1013926799 | Russ A Rasmussen | Psychologist | 1701 Library Blvd, Suite E, Greenwood, IN 46142-1567 | 2006-08-05 |
| 1144270422 | Robin Petkovich | Psychologist | 1700 W Smith Valley Rd Ste A8, Greenwood, IN 46142-1589 | 2006-05-10 |
| 1952391534 | Paula Michelle Gardner | Psychologist | 3209 W. Smith Valley Rd., #231, Greenwood, IN 46142-8511 | 2005-10-25 |
| 1114357506 | Jillian E Sullivan | Psychologist | 3000 S State Road 135, Suite 230, Greenwood, IN 46143-9607 | 2013-11-20 |
| 1871848952 | Charles S. Small | Psychologist | 2504 Browning Road 520, Greenwood, MS 38930-6022 | 2012-07-16 |
| 1417216953 | Kmv Psychological Services, P.C. | Psychologist | 3209 W Smith Valley Rd, Suite 232, Greenwood, IN 46142-8495 | 2012-05-03 |
| 1750546693 | Mary Katherine Clark | Psychologist | 320 N Main St, Greenwood, AR 72936-7031 | 2008-07-21 |
| 1154512101 | Cara Aileen Misetic | Psychologist | 494 S Emerson Ave, Suite D, Greenwood, IN 46143-1912 | 2007-08-06 |
| 1962501692 | Kari Lee Kennedy | Psychologist | 420 E Main St, Greenwood, IN 46143-1364 | 2006-09-21 |
| Find all providers in GREENWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.