Provider Demographics
NPI:1265588248
Name:GREENBERG, RICHARD (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:GREENBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 F ST NW
Mailing Address - Street 2:#604
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2961
Mailing Address - Country:US
Mailing Address - Phone:202-785-1836
Mailing Address - Fax:202-835-0888
Practice Address - Street 1:2112 F ST NW
Practice Address - Street 2:#604
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2961
Practice Address - Country:US
Practice Address - Phone:202-785-1836
Practice Address - Fax:202-835-0888
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC95222084P0800X
MDD00462982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCC62492Medicare UPIN
DCGR51472Medicare PIN