DR. MICHAEL DAVID GREENWALD (PH.D.) – Clinical Psychologist, NPI 1104814706

DR. MICHAEL DAVID GREENWALD (PH.D.) is a healthcare provider. based in West hills, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PSY 12632 (CA). The NPI Number for DR. MICHAEL DAVID GREENWALD (PH.D.) is 1104814706

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL DAVID GREENWALD (PH.D.)
NPI
1104814706
Phone
(310) 828-1809
Address
23639 BLYTHE ST
Enumeration Date
9 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3108281809
Graduation Year
1990 (36 years ago)
PAC ID
8123066339
Professional Enrollment ID
I20050419000868
Address ID
CA913640910WO20301BLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

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Provider Addresses for DR. MICHAEL DAVID GREENWALD (PH.D.)

  • 23639, Blythe Street, West Hills, Los Angeles, Los Angeles County, California, 91304, United States

    WEST HILLS, CA 913045802

    Phone: (310) 828-1809

    Type: Mailing

  • Wilshire Boulevard, Brentwood, Santa Monica, Los Angeles County, California, 90025, United States

    SUITE 650

    SANTA MONICA, CA 904034743

    Phone: (310) 828-1809

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050419000868IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes27911$0
View full utilization report →

Insurance plans in this area (ZIP 91304)

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Reviews

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Frequently asked questions

What identifier follows DR. MICHAEL DAVID GREENWALD (PH.D.) across health systems?
The NPI 1104814706 uniquely identifies DR. MICHAEL DAVID GREENWALD (PH.D.) in U.S. healthcare data.
Should I treat DR. MICHAEL DAVID GREENWALD (PH.D.) as an active provider?
Patients and plans typically see DR. MICHAEL DAVID GREENWALD (PH.D.) as active in the national extract.
What does the directory say DR. MICHAEL DAVID GREENWALD (PH.D.) does?
Insurance directories may phrase it differently, but here DR. MICHAEL DAVID GREENWALD (PH.D.) maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MICHAEL DAVID GREENWALD (PH.D.)?
The directory associates DR. MICHAEL DAVID GREENWALD (PH.D.) with West Hills, California. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. MICHAEL DAVID GREENWALD (PH.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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