DR. JASON KYLE GREENHAGEN (NPI# 1639582877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639582877 |
| Entity Type | Individual |
| Full Name | DR. JASON KYLE GREENHAGEN |
| Credential | D.O. |
| Practice Address |
600 Sun Temple Dr Madison AL 35758-8643 |
| Practice Telephone | 2563252627 |
| Mailing Telephone | 2563252627 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2019-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
DO.1989 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
600 SUN TEMPLE DR |
| City | MADISON |
| State | AL |
| Zip Code | 35758-8643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578863940 | Megan C Larrabee | Social Worker | 600 Sun Temple Dr, Madison, AL 35758-8643 | 2010-11-01 |
| 1962001636 | Ashley Nichole Hanback | Nurse Practitioner | 600 Sun Temple Dr, Madison, AL 35758-8643 | 2020-10-22 |
| 1598363145 | Wendy Metia Gardner | Social Worker | 600 Sun Temple Dr, Madison, AL 35758-8643 | 2020-10-15 |
| 1184233314 | Amber Stricklin | Social Worker | 600 Sun Temple Dr, Madison, AL 35758-8643 | 2020-07-23 |
| 1487281325 | Kayla Henderson | Family Medicine | 600 Sun Temple Dr, Madison, AL 35758-8643 | 2020-03-23 |
| 1215562988 | Leonard A Rose Jr. | Nurse Practitioner | 600 Sun Temple Dr, Madison, AL 35758-8643 | 2020-03-03 |
| 1518592286 | Kerri C Abernathy | Nurse Practitioner | 600 Sun Temple Dr, Madison, AL 35758-8643 | 2020-03-03 |
| 1699306308 | Anna C Green | Social Worker | 600 Sun Temple Dr, Madison, AL 35758-8643 | 2020-01-31 |
| 1821633728 | Tabitha Nicole Harper | Social Worker | 600 Sun Temple Dr, Madison, AL 35758-8643 | 2019-11-14 |
| 1700427119 | Allison Brewer Smalley | Social Worker | 600 Sun Temple Dr, Madison, AL 35758-8643 | 2019-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154421667 | Timothy Howell | Psychiatry & Neurology | 2500 Overlook Ter, Madison, WI 53705-2254 | 2006-09-24 |
| 1184675266 | Lauren Bern | Psychiatry & Neurology | University of Wisconsin Hospital, 600 Highland Ave H4/831-8320, Madison, WI 53792-0001 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540376 | My Psychiatry Clinic, LLC | Psychiatry & Neurology | 2021 Shady Crest Dr. Suite 100, Hoover, AL 35216 | 2020-02-14 |
| 1225215700 | Shankar Yalamanchili Md LLC | Psychiatry & Neurology | 8637 Anna Pl, Montgomery, AL 36116-6693 | 2008-01-27 |
| 1922004829 | Joseph Paul Thomas | Psychiatry & Neurology | 4087 Cottage Hill Rd, Suite B, Mobile, AL 36609-4226 | 2005-06-24 |
| 1861958340 | Cnop LLC | Psychiatry & Neurology | 701 University Blvd E Ste 204, Tuscaloosa, AL 35401-7431 | 2019-02-20 |
| 1851780951 | Lakeland Physicians LLC | Psychiatry & Neurology | 42030 Highway 195, Ste A, Haleyville, AL 35565-7054 | 2015-01-13 |
| 1265848824 | Gulf Coast Mental Health Services PC | Psychiatry & Neurology | 22787 Us Highway 98, Building D Suite 7, Fairhope, AL 36532-6329 | 2014-07-03 |
| 1467791129 | Citizens Senior Care Unit | Psychiatry & Neurology | 604 Stone Ave, Talladega, AL 35160-2217 | 2013-01-31 |
| 1750576815 | Jetty Psychiatric Services LLC | Psychiatry & Neurology | 401 Tuscaloosa Ave Sw, Suite 110, Birmingham, AL 35211-1416 | 2007-09-12 |
| 1518160506 | Sonya Elizabeth Pritchard | Psychiatry & Neurology | 619 19th St S, Birmingham, AL 35249-1900 | 2007-06-07 |
| 1326146051 | Amy Dusza Lott | Psychiatry & Neurology | 700 19th St S, Va Medical Center, 7th Floor, Birmingham, AL 35233-1927 | 2006-09-20 |
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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.