Individual provider Active NPI

Melissa Green, MA, LLP

  • Psychologist
  • Milford, MI
National Provider Identifier
1831431782
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301015282 Issued in MI
Practice address
1100 Corporate Office Dr Ste 100
Milford, MI 48381-5011
Phone
(734) 564-7169
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301015282 MI Primary

Addresses

Primary practice location

1100 Corporate Office Dr Ste 100
Milford, MI 48381-5011

Mailing address

1100 Corporate Office Dr Ste 300
Milford, MI 48381-5002
Phone (248) 714-9289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1100 Corporate Office Dr
Suite 300
Milford, MI 48381-5001

1100 Corporate Office Dr
Suite 300
Milford, MI 48381-5002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301015282MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Knapp Psychological Services, LLC Clinical CurrentSince Feb 9, 2025 Accepting new patients

Locations

1100 Corporate Office Dr
Ste 300
Milford, MI 48381
Phone (248) 714-9289

1100 Corporate Office Dr
Ste 100
Milford, MI 48381
Phone (248) 325-8632

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1831431782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CORPORATE OFFICE DR STE 300",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483815002",
            "telephone_number": "248-714-9289",
            "fax_number": "734-780-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CORPORATE OFFICE DR STE 100",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483815011",
            "telephone_number": "734-564-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MELISSA",
        "credential": "MA, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301015282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.