Joanne Green, PH.D.

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

License

001316 Issued in GA

Practice address

1760 Century Blvd NE
Atlanta, GA 30345-3310

Phone

(404) 909-9455

NPI assigned

May 31, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joanne Green, PHD, LLC

  • Clinical Neuropsychologist
  • Atlanta, GA
  • NPI 1467508630
  NPD (past) Authorized official

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447297510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 REEDER CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063311",
            "telephone_number": "404-876-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 CENTURY BLVD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453310",
            "telephone_number": "404-909-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "001316",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "GA",
            "license": "001316",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "001316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Green
• Jeanette Faith Green, PHD, APRN, PMHNP-BC
• Jennifer Ruth Green
• Jeremy Green, MD
• Jessica Green
• Jonita Green, PMHNP
• Joseph Edward Green Jr., M.A.
• Josephine Green
• Joshua David Green
• Latonya M Green

• Adult Development & Aging Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Adult Development & Aging Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.