Individual provider Active NPI

William James Greene, M.D.

  • Psychiatry Physician
  • Modesto, CA
National Provider Identifier
1396189791
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A149842 Issued in CA
Practice address
1501 Claus Rd
Modesto, CA 95355-9711
Phone
(209) 579-5628
NPI assigned
Apr 29, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD221600 OR
Psychiatry Physician 2084P0800X MED-PHYS-LIC-145711 MT
Psychiatry Physician 2084P0800X A149842 CA Primary

Addresses

Primary practice location

1501 Claus Rd
Modesto, CA 95355-9711

Mailing address

220 Standiford Ave Ste F
Modesto, CA 95350-1159
Phone (209) 579-5628

Other practice location 1

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-8949

Other practice location 2

2211 NE 139th St
Vancouver, WA 98686-2742
Phone (503) 413-8949

Other practice location 3

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT, WA, OR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20171218002861 CA Practitioner - Psychiatry 5092004788 Reassigns benefits to 3 organizations
I20241122003183 MT Practitioner - Psychiatry 5092004788 Reassigns benefits to 2 organizations
I20250211003747 WA Practitioner - Psychiatry 5092004788 Reassigns benefits to 1 organization
I20250211003789 OR Practitioner - Psychiatry 5092004788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1501 Claus Rd
Modesto, CA 95355-9711
Phone (209) 557-6310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A149842CAMDPsychiatry Physician
MED-PHYS-LIC-145711MTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Cinic CurrentSince Nov 1, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jan 27, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Jan 27, 2025 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Dec 1, 2024 Accepting new patients
Billings Clinic Current Accepting new patients
William J Greene MD Inc a Professional Medical Corporation Psychiatry CurrentSince Mar 18, 2018 Accepting new patients
Billings Clinic CurrentSince Oct 7, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jan 27, 2025 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Dec 1, 2024 Accepting new patients
Asana Integrated Medical Group PC Psychiatry CurrentSince May 1, 2025 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients

Locations

220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500

1501 Claus Rd
Modesto, CA 95355
Phone (209) 557-6300

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

1423 Broadway
#1124
Oakland, CA 94612

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Organizations & group practices 11

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": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1396189791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STANDIFORD AVE STE F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501159",
            "telephone_number": "209-579-5628",
            "fax_number": "209-579-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CLAUS RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559711",
            "telephone_number": "209-579-5628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 N Gantenbein Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-413-8949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 NE 139th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986862742",
            "country_code": "US",
            "telephone_number": "503-413-8949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Highland Blvd",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597156902",
            "country_code": "US",
            "telephone_number": "406-414-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD221600",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "MED-PHYS-LIC-145711",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A149842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.