DR. ELIZABETH EARLE GREEN (NPI# 1013917368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013917368 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH EARLE GREEN |
| Credential | PHD |
| Practice Address |
3921 Goldfinch St San Diego CA 92103-2926 |
| Practice Telephone | 6192600335 |
| Practice Fax Number | 6192601682 |
| Mailing Telephone | 6192600335 |
| Mailing Fax Number | 6192601682 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY15277 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSY152770 | 05 | |
| CA | LICENSE | PSY15277 | 01 |
| CA | BLUE SHIELD? | OPL152770 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226387 | Elizabeth Sokolik Green | Psychologist | 26 Seville Way, San Mateo, CA 94402-2831 | 2020-05-08 |
| 1851949630 | Elizabeth Green | Social Worker | 743 9th Ave, Fairbanks, AK 99701-4406 | 2019-08-26 |
| 1790340099 | Elizabeth Green | Home Health | 625 Ne 130th St, North Miami, FL 33161-7524 | 2019-05-02 |
| 1033569595 | Elizabeth Green | Community Health Worker | 3203 Pinellas Pl, Tampa, FL 33619-6539 | 2016-06-15 |
| 1427332337 | Elizabeth A Green | Nurse Practitioner | 9 Old Plank Rd Ste 102, Clifton Park, NY 12065-3107 | 2011-10-11 |
| 1902180995 | Elizabeth Green | Pharmacist | 1133 N Johns St, Dodgeville, WI 53533-1277 | 2011-10-07 |
| 1295024123 | Elizabeth M. Green | Counselor | 140 Maple St, Box 404, Andover, NH 03216-3910 | 2011-03-31 |
| 1407017122 | Elizabeth Wallenborn Green | Audiologist | 3000 Johnson Road Sw, Huntsville, AL 35805-5847 | 2008-06-25 |
| 1013128008 | Elizabeth Green | Physical Therapist | 6154 Lauren Ln, Rex, GA 30273-1255 | 2007-05-24 |
| 1295956811 | Elizabeth Ann Green | Physical Therapist | 4302 Crowne Springs Dr Unit 205, Louisville, KY 40241-8144 | 2007-05-01 |
| Street Address |
3921 GOLDFINCH ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700059128 | Paula Andrea Waisman | Psychologist | 3921 Goldfinch St, San Diego, CA 92103-2926 | 2008-04-07 |
| 1083821698 | Monique Anne Muther | Marriage & Family Therapist | 3921 Goldfinch St, San Diego, CA 92103-2926 | 2007-05-16 |
| 1689799256 | Sharon L Hartley | Psychologist | 3921 Goldfinch St, San Diego, CA 92103-2926 | 2007-03-20 |
| 1669582979 | Clipson & Osterloh, Apc | Clinical Neuropsychologist | 3921 Goldfinch St, San Diego, CA 92103-2926 | 2006-08-30 |
| 1184647687 | Christine Osterloh | Psychologist | 3921 Goldfinch St, San Diego, CA 92103-2926 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1396353520 | Chandra Estelle Khalifian | Psychologist | 4975 Foothill Blvd, San Diego, CA 92109-2236 | 2020-07-14 |
| 1225661838 | Sharon Saeedi Psy D Psychologist Inc | Psychologist | 185 W F St Ste 100l, San Diego, CA 92101-6029 | 2020-02-21 |
| 1609414242 | Laura Beth Fitzpatrick | Psychologist | 3322 29th St, San Diego, CA 92104-4533 | 2019-12-13 |
| 1790329613 | Growgood Psychology, Corp | Psychologist | 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 | 2019-11-04 |
| 1891355996 | Stephanie Ann Massey | Psychologist | 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 | 2019-06-19 |
| 1225697543 | Dr. Emily N. Kierce, Psychologist, A Professional Corporation | Psychologist | 402 W Broadway Ste 1925, San Diego, CA 92101-8505 | 2019-06-10 |
| 1023674884 | Desiree Arlene Cuevas | Psychologist | 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 | 2019-05-16 |
| 1396212023 | Paul William Randolph | Psychologist | 727 Robinson Ave Apt D, San Diego, CA 92103-4364 | 2018-10-31 |
| 1952876526 | Amanda Cooney | Psychologist | 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 | 2018-10-09 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.