Organization Active NPI

Angie Green PSYD PLLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1619727799
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ANGIE GREEN PSYD PLLC
Practice address
213 W Institute PL Ste 500
Chicago, IL 60610-8792
Phone
(708) 402-8437
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Angela GreenNPI 1205528601
Title
Licensed Clinical Psychologist
Phone
(815) 519-9777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

213 W Institute PL Ste 500
Chicago, IL 60610-8792

Mailing address

213 W Institute PL Ste 500
Chicago, IL 60610-8792
Phone (708) 402-8437

National Provider Directory

National Provider Directory

Locations

661 W Lake St
Ste 2S
Chicago, IL 60661
Phone (312) 775-2045

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1619727799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W INSTITUTE PL STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108792",
            "telephone_number": "708-402-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W INSTITUTE PL STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108792",
            "telephone_number": "708-402-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGIE GREEN PSYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "815-519-9777"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.