MEDICARE: DR. LEONARD DAVID GREENBERG PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	3139	MA
2	103TF0000X	Family Psychologist	3139	MA
3	103T00000X	Psychologist	3139	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	329375	OTHER		HARVARD PILGRIM
3	016568	OTHER		VALUE OPTIONS
4	760699	OTHER	MA	TUFTS
5	108146	OTHER		MAGELLAN
6	1899368	OTHER	MA	MBHP

General Provider Information

NPI Number	:	1023180486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEONARD DAVID GREENBERG PHD

Provider Business Mailing Address
First Line	:	106 WILDWOOD AVE
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02476-6224
Country	:	US
Telephone Number	:	781-641-2210
Fax Number	:	781-648-4717

Provider Business Practice Location Address
First Line	:	76 BEDFORD STREET
Second Line	:	SUITE 21
City	:	LEXINGTON
State	:	MA
Zip	:	02420-4641
Country	:	US
Telephone Number	:	781-861-6662
Fax Number	:	781-648-4717

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	09/11/2025

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