DR. CHERYL LEA GREEN (NPI# 1053602151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053602151 |
| Entity Type | Individual |
| Full Name | DR. CHERYL LEA GREEN |
| Credential | MD |
| Practice Address |
Behavioral Medicine Center, Loma Linda University 1710 Barton Rd Redlands CA 92373-5304 |
| Mailing Address |
Behavioral Health Institue, Loma Linda University 1686 Barton Rd Redlands CA 92373-1489 |
| Practice Telephone | 9095589219 |
| Mailing Telephone | 9095589547 |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
141366 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Behavioral Health Institute, Loma Linda University, 1686 Barton Rd., Redlands, CA 923731488 | 9095589547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588196455 | Cheryl A Green | Clinical Nurse Specialist | 70 Technology Ln, Cowen, WV 26206-3702 | 2017-03-30 |
| 1457523037 | Cheryl M Green | Marriage & Family Therapist | 22 Brookfield Rd, Brimfield, MA 01010-9794 | 2008-03-24 |
| 1902001951 | Cheryl A Green | Counselor | 421 1st St, Marks, MS 38646-1302 | 2007-06-19 |
| 1518029602 | Cheryl Ann Green | Counselor | 8 Wakeman Road, Fairfield, CT 06824 | 2006-12-14 |
| 1063991438 | Cheryl Ann Green | Nurse Practitioner | 970 E Washington St Ste 2f, Medina, OH 44256-2181 | 2018-08-07 |
| 1639671456 | Cheryl Lee Green | Nurse Practitioner | 7855 S Emerson Ave Ste H, Indianapolis, IN 46237-8669 | 2018-03-07 |
| 1659523884 | Cheryl Green | Occupational Therapist | 1700 Market St, Camp Hill, PA 17011-4817 | 2008-10-21 |
| 1366563496 | Cheryl Louise Green | Physician Assistant | 2401 E Street Nw, Dept of State, Office of Med Services, Qi, Washington, DC 20522-0102 | 2007-04-03 |
| 1831236660 | Cheryl Ann Green | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2007-01-31 |
| 1437203924 | Cheryl Ann Green | Social Worker | 1501 E Mockingbird Ln, Suite 262, Victoria, TX 77904-2139 | 2007-01-22 |
| Street Address |
BEHAVIORAL MEDICINE CENTER, LOMA LINDA UNIVERSITY 1710 BARTON RD |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386849339 | Kelly Blue | Psychiatry & Neurology | 312 Brookside Ave, Redlands, CA 92373-4608 | 2007-06-19 |
| 1730294356 | Jamie L. Snyder | Psychiatry & Neurology | 1686 Barton Rd Ste D, Redlands, CA 92373-1489 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506308 | Nisha Warikoo Md Inc | Psychiatry & Neurology | 19200 Von Karman Ave, Ste 623, Irvine, CA 92612-8553 | 2020-04-13 |
| 1043848872 | Nelson Md and Lochhead Md, A Professional Medical Corporation | Psychiatry & Neurology | 28202 Cabot Rd Ste 635, Laguna Niguel, CA 92677-1222 | 2020-03-28 |
| 1003455460 | Ranvinder Kaur Rai Md | Psychiatry & Neurology | 39676 Mission Blvd, Fremont, CA 94539-3000 | 2020-01-03 |
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
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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.