Henry J Green, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G56683 Issued in CA

Practice address

6700 N 1St St
Suite 127
Fresno, CA 93710-3900

Phone

(559) 435-7337

Fax

(559) 435-6548

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Community Solutions for Children, Families and Individuals

  • Community/Behavioral Health Agency
  • Morgan Hill, CA
  • NPI 1720205131
  Medicare reassignment NPD
• Community Solutions for Children, Families and Individuals

  • Community/Behavioral Health Agency
  • Morgan Hill, CA
  • NPI 1386868107
  NPD
• Community Solutions for Children, Families and Individuals

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1699927319
  NPD

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447313796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N 1ST ST",
            "address_2": "SUITE 127",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103900",
            "telephone_number": "559-435-7337",
            "fax_number": "559-435-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N 1ST ST",
            "address_2": "SUITE 127",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103900",
            "telephone_number": "559-435-7337",
            "fax_number": "559-435-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "HENRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G56683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Green
• Ceasia Green
• Craig Green
• Diane F. Green, LMFT
• Edward B Green, D.C
• Janice Lynn Green
• Kristopher Green
• Lawanda Marie Green
• Leiann Green
• Melinda Green

• Psychiatry Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.