Dr Helen Ivy Green PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

355100148400 Issued in NJ

Legal business name

DR HELEN IVY GREEN PA

Practice address

76 Oxford Drive
Tenafly, NJ 07670-3114

Phone

(201) 871-3424

Fax

(201) 871-3038

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Helen Ivy Green, PHD

Title

President

Phone

(201) 871-3424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1396896064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 OXFORD DRIVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076703114",
            "telephone_number": "201-871-3424",
            "fax_number": "201-871-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 OXFORD DRIVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076703114",
            "telephone_number": "201-871-3424",
            "fax_number": "201-871-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HELEN IVY GREEN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "IVY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-871-3424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "355100148400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.