Jeff Green MD PC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

JEFF GREEN MD PC

Practice address

1871 S 22ND Ave Ste 3
Bozeman, MT 59718-7054

Phone

(406) 582-9306

Fax

(406) 205-1459

NPI assigned

Oct 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Green, MD

Title

Owner

Phone

(406) 582-9306

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Scott Green, MD

  • Child & Adolescent Psychiatry Physician
  • Bozeman, MT
  • NPI 1770522831
  NPD

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1073984019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 S 22ND AVE STE 3",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187054",
            "telephone_number": "406-582-9306",
            "fax_number": "406-205-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 S 22ND AVE STE 3",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187054",
            "telephone_number": "406-582-9306",
            "fax_number": "406-205-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF GREEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-582-9306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Jansen
• Lauren Marie Jarosz, LCPC
• Jason Tanguay, DDS, LLC
• Sara Elizabeth Jay, RDN
• Susan Jedd
• Jeffrey K. Ellens, PH.D. PLC
• Vaani Jegapragasan, MD
• Keely Marie Jeide, PHARMD
• Jasmine Burson Jenkins, FNP-C
• Julie Dawn Jenkins, PT

• Child & Adolescent Psychiatry Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Child & Adolescent Psychiatry Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.