Individual provider Active NPI

Anne M Green, PH D

  • Counseling Psychologist
  • Coralville, IA
National Provider Identifier
1063470060
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
627 Issued in IA
Practice address
2000 James St.
Ste 211
Coralville, IA 52241-1882
Phone
(319) 358-9397
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 627 IA Primary

Addresses

Primary practice location

2000 James St.
Ste 211
Coralville, IA 52241-1882

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
54265OtherIAWELLMARK

Other names 1

  • Dr. Anne M Green-Emrich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2016 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
627IAMDCounseling Psychologist
00627IAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Psychology, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1063470060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 JAMES ST.",
            "address_2": "STE 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": "STE 211",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411882",
            "telephone_number": "319-358-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "54265",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "GREEN-EMRICH",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "PH D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.