Active NPI
Emily Green, PSY.D.
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1164975090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1001345
- Practice address
- 4545 Connecticut Ave NW Apt 417
Washington, DC 20008-6021 - Phone
- (202) 750-3805
- NPI assigned
- Jul 27, 2016
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1001345 | DC | Primary |
Addresses
Primary practice location
4545 Connecticut Ave NW Apt 417
Washington, DC 20008-6021
Mailing address
4545 Connecticut Ave NW Apt 417
Washington, DC 20008-6021
Phone (202) 750-3805
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1001345 | DC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1164975090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 CONNECTICUT AVE NW APT 417",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200086021",
"telephone_number": "202-750-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 CONNECTICUT AVE NW APT 417",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200086021",
"telephone_number": "202-750-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "EMILY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1001345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.