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Mary Greenlee , CDCA

Physician β€’ Warren, OH

Deactivated NPI 1730610486 Deactivated in NPPES Female Practitioner
Practice location in NPPES

2737 Youngstown Warren Rd Se
Warren, OH 44483

Phone: 3303698022

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of October 25, 2022; the reason is not published. The records below are historical. They do not show whether Mary Greenlee currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date March 24, 2017
NPI Deactivation Date October 25, 2022
NPI Active Period 2017 – 2022

Practice Location & Contact Primary Location

Practice Address

2737 Youngstown Warren Rd Se

Warren, OH 44483

Telephone 3303698022
Organization at the Same NPPES Address or Phone
First Step Recovery Of Warren Llc Facility NPI 1255736450

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Warren and Ohio

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Substance Abuse Rehabilitation Facility Primary Specialty

NUCC Taxonomy Code: 324500000X

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated October 25, 2022

NPPES lists this NPI as deactivated as of October 25, 2022; the reason is not published.

βœ…
NPI Profile Active March 24, 2017

NPI status registered as active in NPPES database

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Practice Location (Initial Record) March 24, 2017

Registered at 2737 YOUNGSTOWN WARREN RD SE, WARREN, OH 44483 (Tel: 3303698022)

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Business Mailing Address (Initial Record) March 24, 2017

Registered at 2737 YOUNGSTOWN WARREN RD SE, WARREN, OH 44483 (Tel: 3303698022)

πŸ‘€
Provider Name / Credentials (Initial Record) March 24, 2017

Recorded as MARY GREENLEE, CDCA

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

Substance Abuse Rehabilitation Facility

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Initial NPI Registration & Enumeration March 24, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730610486
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2017
Last Update: March 24, 2017
Deactivation Date: October 25, 2022

Mailing Address

2737 Youngstown Warren Rd Se

Warren, OH 44483

Phone: 3303698022

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.