Active NPI
Melva Green, M.D.
- Psychiatry Physician
- Baltimore, MD
National Provider Identifier
1083768675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0060972
- Practice address
- 5820 York Rd
Suite 204
Baltimore, MD 21212-3610 - Phone
- (443) 803-2473
- Fax
- (410) 526-5665
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0060972 | MD | Primary |
Addresses
Primary practice location
5820 York Rd
Suite 204
Baltimore, MD 21212-3610
Mailing address
109 Persimmon Cir
Reisterstown, MD 21136-6462
Phone (410) 526-3218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083768675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 PERSIMMON CIR",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211366462",
"telephone_number": "410-526-3218",
"fax_number": "410-526-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 YORK RD",
"address_2": "SUITE 204",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212123610",
"telephone_number": "443-803-2473",
"fax_number": "410-526-5665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "MELVA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0060972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.