Individual provider Active NPI

Angela Green, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1205528601
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071010977 Issued in IL
Practice address
213 W Institute PL Ste 500
Chicago, IL 60610-8792
Phone
(708) 402-8437
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071010977 IL Primary

Addresses

Primary practice location

213 W Institute PL Ste 500
Chicago, IL 60610-8792

Mailing address

213 W Institute PL Ste 500
Chicago, IL 60610-8792

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

LicenseStateTypeSpecialty
071010977ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Angie Green PSYD PLLC Clinical Current Accepting new patients

Locations

4044 N Lincoln Ave
Chicago, IL 60618
Phone (317) 508-7565

661 W Lake St
Ste 2S
Chicago, IL 60661
Phone (312) 775-2045

213 W Institute Pl
Ste 500
Chicago, IL 60610
Phone (312) 702-0113

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1205528601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W INSTITUTE PL STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W INSTITUTE PL STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108792",
            "telephone_number": "708-402-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.