Organization Active NPI

David Green, PH.D. & Louise Green, PH.D., Apc

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1841441938
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY4422 Issued in CA
Legal business name
DAVID GREEN, PH.D. & LOUISE GREEN, PH.D., APC
Practice address
5333 Mission Center Rd
Suite 354
San Diego, CA 92108-1302
Phone
(619) 281-0616
Fax
(619) 528-1263
NPI assigned
Oct 7, 2008
Last updated
Oct 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Louise Green, PH.D.NPI 1356456008
Title
Vice President
Phone
(619) 281-0616

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY4696 CA
Clinical Psychologist 103TC0700X PSY4422 CA Primary

Addresses

Primary practice location

5333 Mission Center Rd
Suite 354
San Diego, CA 92108-1302

Mailing address

5333 Mission Center Rd
Suite 354
San Diego, CA 92108-1302
Phone (619) 281-0616

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1841441938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MISSION CENTER RD",
            "address_2": "SUITE 354",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081302",
            "telephone_number": "619-281-0616",
            "fax_number": "619-528-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MISSION CENTER RD",
            "address_2": "SUITE 354",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081302",
            "telephone_number": "619-281-0616",
            "fax_number": "619-528-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GREEN, PH.D. & LOUISE GREEN, PH.D., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "619-281-0616",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY4696",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY4422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.