Provider Demographics
NPI:1528414851
Name:GREENE, AMIE YU-CHIA (MD)
Entity type:Individual
Prefix:
First Name:AMIE
Middle Name:YU-CHIA
Last Name:GREENE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YU-CHIA
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:455 E EISENHOWER PKWY STE 300-1058
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-3356
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5960 S LAND PARK DR STE 1218
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-3313
Practice Address - Country:US
Practice Address - Phone:408-708-1359
Practice Address - Fax:866-709-2006
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-05
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1526442084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry