NPIMap

Organization Active NPI

Anne M. Green, Inc.

  • Counseling Psychologist
  • Coralville, IA
National Provider Identifier
1053732016
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
00627 Issued in IA
Legal business name
ANNE M. GREEN, INC.
Practice address
2000 James St
Suite 211
Coralville, IA 52241-1882
Phone
(319) 358-9397
NPI assigned
Dec 18, 2013
Last updated
Nov 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anne M Green, PH.D.NPI 1063470060
Title
Owner
Phone
(319) 358-9397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 00627 IA Primary

Addresses

Primary practice location

2000 James St
Suite 211
Coralville, IA 52241-1882

Mailing address

2000 James St
Suite 211
Coralville, IA 52241-1882
Phone (319) 358-9397

Other names 1

  • Anne M. Green Other name

National Provider Directory

National Provider Directory

Locations

2000 James St
Ste 211
Coralville, IA 52241
Phone (319) 358-9397

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1053732016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 JAMES ST",
            "address_2": "SUITE 211",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411882",
            "telephone_number": "319-358-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 JAMES ST",
            "address_2": "SUITE 211",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411882",
            "telephone_number": "319-358-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE M. GREEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-358-9397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "00627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anne M. Green",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.