Active NPI
Seth Green
- Clinical Psychologist
- Nome, AK
National Provider Identifier
1053595371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 687
- Practice address
- 607 Division Street
Nome, AK 99762-0966 - Phone
- (907) 443-3344
- NPI assigned
- Dec 21, 2007
- Last updated
- May 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 687 | AK | Primary |
Addresses
Primary practice location
607 Division Street
Nome, AK 99762-0966
Mailing address
PO Box 966
Nome, AK 99762-0966
Phone (907) 443-3344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1131 E International Airport Rd
Anchorage, AK 99518-1408
Phone (907) 276-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1642 | GA | MD | Clinical Social Worker |
| 1642 | AL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aleutian Pribilof Islands Association Inc | Current | Accepting new patients | |
| Aleutian Pribilof Islands Assoc Inc | Current | Accepting new patients |
Locations
1131 E Intl Airport Rd
Anchorage, AK 99518
Phone (907) 276-2700
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Health Clinic/Center
- Unalaska, AK
- NPI 1689610313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1053595371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 966",
"city": "NOME",
"state": "AK",
"postal_code": "997620966",
"telephone_number": "907-443-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 DIVISION STREET",
"city": "NOME",
"state": "AK",
"postal_code": "997620966",
"telephone_number": "907-443-3344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "SETH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-21",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AK",
"license": "687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nome, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.