Kaylie Green, PHD
Individual provider Active NPI Clinical Psychologist · Bozeman, MT
NPI 1295224152 · NPPES record last updated Aug 22, 2025
Key facts
- NPI
- 1295224152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 5071 (MT)
- Practice address
- 4245 Monroe St Apt D
Bozeman, MT 59718-1964 - Phone
- (425) 422-9362
- NPI assigned
- May 7, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6330 | CO | MD | Professional Counselor |
| 5071 | MT | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6330 | CO | |
| Clinical Psychologist | 103TC0700X | 5071 | MT | Yes |
Addresses
Primary practice location
4245 Monroe St Apt D
Bozeman, MT 59718-1964
Mailing address
4245 Monroe St Apt D
Bozeman, MT 59718-1964
Phone (425) 422-9362
Other providers in Bozeman, MT
- Great Turning Healing Center
- Greater Impact Inc
- Green Flag, PC
- Jeffrey Scott Green
- Joan Marie Green
- Nicolette Green
- William Roper Green
- Joanna Greenbaum
- Gregory J Moos DDS PC
- Jennifer Gribble
All providers in Bozeman, MT · Clinical Psychologist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.