Robert a Green PHD and Associates PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3499 Issued in NC

Legal business name

ROBERT A GREEN PHD AND ASSOCIATES PA

Practice address

16147 Lancaster Hwy
Suite 110
Charlotte, NC 28277-2050

Phone

(704) 887-4909

Fax

(954) 581-5630

NPI assigned

Apr 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Green, PH.D.NPI 1467442236

Title

Clinical Director

Phone

(704) 887-4909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Robert A Green, PHD

  • Psychologist
  • Hollywood, FL
  • NPI 1467442236
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1124291786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16147 LANCASTER HWY",
            "address_2": "SUITE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772050",
            "telephone_number": "704-887-4909",
            "fax_number": "954-581-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16147 LANCASTER HWY",
            "address_2": "SUITE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772050",
            "telephone_number": "704-887-4909",
            "fax_number": "954-581-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A GREEN PHD AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "704-887-4909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Roberson, PA-C
• Kelly Renee Roberson, MA, LCMHCA
• Lewis Harvey Roberson II, MD
• Patrice Roberson
• Robin Roberson
• Robert a Rucho, DDS, Ralph M. Hoffman, DMD, PA.
• Robert F Dixon DDS PA
• Robert G Bookholt, DDS, PA
• Robert L Seymour DDS PA
• Robert L. Young, Jr. , DDS

• Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.