MR. CHARLES BARRYMORE GREENE II (NPI# 1124297130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124297130 |
| Entity Type | Individual |
| Full Name | MR. CHARLES BARRYMORE GREENE II |
| Credential | LCADC |
| Practice Address |
413 S Broadway Camden NJ 08103-1211 |
| Mailing Address |
106 Country Ln Sicklerville NJ 08081-9312 |
| Practice Telephone | 8567579190 |
| Practice Fax Number | 8563381892 |
| Mailing Telephone | 8567014731 |
| Mailing Fax Number | 8567570541 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00141700 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215985874 | Charles William Greene Jr. | Allergy & Immunology | 534 Woods Lake Rd, Greenville, SC 29607-2778 | 2006-05-05 |
| 1427675891 | Charles Greene | Home Health | 5241 Hackney Rd, North Chesterfield, VA 23234-4597 | 2020-07-01 |
| 1275025124 | Charles Greene | Social Worker | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2018-06-05 |
| 1972000909 | Charles Greene | Counselor | 417 W 3rd Ave, Albany, GA 31701-1943 | 2018-04-06 |
| 1699059923 | Charles D Greene II | Pharmacist | 16468 Highway 280, Chelsea, AL 35043-8336 | 2011-10-05 |
| 1104001221 | Charles Greene | Counselor | 1201 S Proctor St, Tacoma, WA 98405-2047 | 2008-01-08 |
| 1467501700 | Charles B Greene | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2007-01-09 |
| 1720193949 | Charles S Greene | Dentist | 811 W Wellington Ave, Dept of Dentistry - Aimmc, Chicago, IL 60657-5123 | 2006-08-20 |
| 1306876651 | Charles C Greene | Otolaryngology | 11512 Lake Mead Ave, Suite 531, Jacksonville, FL 32256-9680 | 2006-07-03 |
| 1073554986 | Charles Henry Greene IIi | Physical Therapist | 203 S Polk St, Albany, MO 64402-1618 | 2006-06-10 |
| Street Address |
413 S BROADWAY |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104016708 | Merakey Parkside Recovery | Community/Behavioral Health | 413 S Broadway, Camden, NJ 08103-1211 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427564574 | Maria C. Berrios | Counselor | 116 N 2nd St Ste 102, Camden, NJ 08102-1601 | 2017-12-26 |
| 1508318353 | Marvin Price | Counselor | 1040 Langham Ave, Camden, NJ 08103-2735 | 2016-10-27 |
| 1649667627 | Paul Quijano | Counselor | 9 Trim St, Camden, ME 04843-1622 | 2015-04-17 |
| 1972996395 | Emily Buchenhorst | Counselor | 594 Benson Street, Camden, NJ 08103 | 2015-03-10 |
| 1346642337 | Genesis Counseling Center, Inc. | Counselor | 1000 Atlantic Ave Fl 5, Camden, NJ 08104-1132 | 2014-09-22 |
| 1265859979 | Robert Preston Rogers Sr. | Counselor | 1535 Norris St, Camden, NJ 08104-1714 | 2014-03-20 |
| 1508108895 | Michelle D Goodman | Counselor | 3007 Kearsarge Rd, Camden, NJ 08104 | 2013-03-25 |
| 1649475047 | Sikora Center, Inc. | Counselor | 613 Clinton St # 615, Camden, NJ 08103-1415 | 2007-06-18 |
| 1215055876 | Angela Mashel Rich | Counselor | 1269 California Sw, Camden, AR 71701 | 2007-03-26 |
| 1831232446 | Jason Fox | Counselor | 270 Spring Dr, Camden, TN 38320-6855 | 2007-02-14 |
| Find all providers in CAMDEN | ||||
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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.