Amy Green, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA02749900 Issued in NJ

Practice address

326 Park St
Montclair, NJ 07043-2232

Phone

(973) 783-4669

Fax

(973) 783-6288

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Amy Green Clemente Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972662526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432232",
            "telephone_number": "973-783-4669",
            "fax_number": "973-783-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432232",
            "telephone_number": "973-783-4669",
            "fax_number": "973-783-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA02749900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CLEMENTE",
            "middle_name": "GREEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carol A Grant, CRNA
• Titania Grant, LPC
• Courtney Lee Gravenese, MS, RD
• Susan L Graziano, NP
• Great Atlantic & Pacific Tea Company Inc
• Cynthia Rachel Green, PH.D.
• Gregory Heifler, MD, PA
• John Gribbon, M.D.
• Amanda Griglack, MA, CCC-SLP
• Tara Elizabeth Griswold, LCSW

• Psychiatry Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Psychiatry Physician in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.