The Green Garden, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

THE GREEN GARDEN, LLC

Practice address

10635 York Rd FL 2
Cockeysville, MD 21030-2357

Phone

(410) 635-1013

NPI assigned

Oct 19, 2020

Organization subpart

No

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

Authorized official

Name

Chona Green, PSY.D.NPI 1245820760

Title

Psychologist

Phone

(443) 454-5446

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chona Green

  • Clinical Psychologist
  • Cockeysville, MD
  • NPI 1245820760
  NPD Authorized official

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1609475979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LINDSEY CT",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213355",
            "telephone_number": "443-454-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10635 YORK RD FL 2",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302357",
            "telephone_number": "410-635-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREEN GARDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CHONA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "443-454-5446",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Cockeysville, MD
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• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.