Provider Demographics
NPI:1003595281
Name:CAROLYN D. GREENE PSY.D., P.C.
Entity type:Organization
Organization Name:CAROLYN D. GREENE PSY.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:D
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:917-579-0943
Mailing Address - Street 1:26 LILY POND LN
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-1803
Mailing Address - Country:US
Mailing Address - Phone:917-579-0943
Mailing Address - Fax:
Practice Address - Street 1:15 PARKWAY
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-1505
Practice Address - Country:US
Practice Address - Phone:917-579-0943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty