Provider Demographics
NPI:1073620274
Name:JOSEPH B. GREENE, M.D., A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:JOSEPH B. GREENE, M.D., A MEDICAL CORPORATION
Other - Org Name:MONTEREY PSYCHIATRIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:B
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-372-6008
Mailing Address - Street 1:415 FIGUEROA ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-3048
Mailing Address - Country:US
Mailing Address - Phone:831-372-6008
Mailing Address - Fax:831-656-0330
Practice Address - Street 1:415 FIGUEROA ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3048
Practice Address - Country:US
Practice Address - Phone:831-372-6008
Practice Address - Fax:831-656-0330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC35263OtherSTATE LICENSE
CAAG55599983OtherDEA