DR. GLEN DAVID GREENBERG


Address: 774 Christiana Rd Ste 201a, Newark, DE 19713-4221
Phone: 6105660501

DR. GLEN DAVID GREENBERG (NPI# 1336119346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336119346
Entity Type Individual
Full Name DR. GLEN DAVID GREENBERG
Credential PHD
Practice Address 774 Christiana Rd Ste 201a
Newark
DE 19713-4221
Mailing Address Po Box 594
Westtown
PA 19395-0594
Practice Telephone 6105660501
Practice Fax Number 6105660502
Mailing Telephone 6105660501
Mailing Fax Number 6105660502
Enumeration Date 2006-01-23
Last Update Date 2018-04-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist B1 0000441 DE Behavioral Health & Social Service Providers
N 103G00000X Clinical Neuropsychologist PS 004797-L PA Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
B1 0000441 DE Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
PS 004797-L PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AETNA 3350135 01
BS PERSONAL CHOICE 001661440 01
AMERIHEALTH 0427479000 01
CIGNA BEHAVIORAL HEALTH 70659 01
MAGELLAN 0488565000 01
PA 001187272003 05
COMPPSYCH 214951 01
DELAWARE PHYSICIANS CARE 1000033037 01
VALUE OPTIONS 221962 01
DE 1000033037 05

Office Location

Street Address 774 CHRISTIANA RD STE 201A
City NEWARK
State DE
Zip Code 19713-4221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881084523 Elysia Benedict Clinical Neuropsychologist 774 Christiana Rd Ste 201a, Newark, DE 19713-4221 2015-02-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518574490 Stacie Guyton Nurse Practitioner 4501 Ogletown Stanton Road, Newark, DE 19713 2020-09-25
1225674633 Michael Francis Stant Specialist/Technologist Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 2019-11-20
1528559457 Sarah Mun Physician Assistant 4755 Ogletown Stanton Rd, Newark, DE 19713 2018-05-26
1568983286 Clarice Wanisku Kariuki Licensed Practical Nurse 15 Prestbury Square, Suite 14, Nweark, DE 19713 2017-07-03
1679029870 Auxilia Akala Nurse Practitioner 1082 Churchmans Rd, Newrk, DE 19713 2016-08-28
1003369851 Yawar Abbas Psychiatry & Neurology Rockford Center, 100 Rockford Dr, Newark, DE 19713 2016-07-28
1700245925 Debra Hutz Counselor 25 Omega Dr., Professional Center #j, Newark, DE 19713 2016-02-16
1376918201 Aquiles Igleisias Speech-Language Pathologist 540 South College Avenue, Newark, DE 19713 2015-12-03
1639547359 Kylee Rose Social Worker 901 S. Chapel Street, Newark, DE 19713 2015-09-11
1932503976 Kathleen Madara Physical Therapist 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 2014-10-20
Find all providers in zip 19713

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841653763 Andrew P Brown IIi Clinical Neuropsychologist 31 Clinton St, Newark, NJ 07102-3729 2016-03-29
1467451401 Christopher Ian Higginson Clinical Neuropsychologist 203 W Main St, Newark, DE 19716-2579 2005-07-20
1881084523 Elysia Benedict Clinical Neuropsychologist 774 Christiana Rd Ste 201a, Newark, DE 19713-4221 2015-02-03
1295139251 Michelle M. Manasseri Psyd LLC Clinical Neuropsychologist 910 S Chapel St, Ste 201, Newark, DE 19713-3467 2014-10-20
1114298791 Michelle Manasseri Clinical Neuropsychologist 910 S Chapel St, Ste 102, Newark, DE 19713-3467 2012-01-13
1407013865 Akshar Medical Services LLC Clinical Neuropsychologist 314 E Main St, Suite # 403, Newark, DE 19711-7128 2008-05-21
1154597680 Michael Ferrari Clinical Neuropsychologist 15 Omega Dr, Bldg K, Newark, DE 19713-2057 2008-05-05
1821209479 Upa Np LLC Clinical Neuropsychologist 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 2007-05-25
1598775199 University Physician Associates of New Jersey Inc Clinical Neuropsychologist 185 S Orange Ave, Newark, NJ 07103-2757 2006-08-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073923280 Nyemade Cummings-swen Clinical Neuropsychologist 3082 W Court Ave, Claymont, DE 19703-2021 2014-04-28
1285750034 Margaret A. Goodwin Clinical Neuropsychologist 32711 Long Neck Road, Cedar Tree Medical Center, Millsboro, DE 19966 2007-03-22
1003944760 Kerri Janine Kennard Clinical Neuropsychologist 26876 Sussex Hwy, Unit 2, Seaford, DE 19973 2007-03-02
1740329564 Anna M Hoier Clinical Neuropsychologist 937 Silver Lake Blvd, Dover, DE 19904-2409 2007-02-06
1861439895 Richard G. Ivins Clinical Neuropsychologist 1601 Concord Pike, Suite 92-100, Wilmington, DE 19803-3612 2006-05-31
1033161658 Barbara Briggs Clinical Neuropsychologist 1073 Creekside Dr, Wilmington, DE 19804-3930 2006-05-16
1144218744 Frederick Kurz Clinical Neuropsychologist 1601 Delaware Ave, Suite 32 B, Wilmington, DE 19806-3303 2005-10-10
1831689520 Danielle Bosenbark Clinical Neuropsychologist 1600 Rockland Rd, Wilmington, DE 19803-3607 2018-05-17
1194265793 Laura Freeman Clinical Neuropsychologist 1600 Rockland Rd, Wilmington, DE 19803-3607 2017-03-01
1245606920 Gregory Adam Witkin Clinical Neuropsychologist 1600 Rockland Rd, Wilmington, DE 19803-3607 2015-08-17
Find all providers with the same taxonomy

Competitor

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City NEWARK
Zip Code 19713

Improve Information

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Dataset Information

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.

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