DR. MARGOT GREEN (NPI# 1205993029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205993029 |
Entity Type | Individual |
Full Name | DR. MARGOT GREEN |
Credential | PH.D. |
Practice Address |
1425 S Main St Chemical Dependency Program Walnut Creek CA 94596-5318 |
Mailing Address |
1425 S Main St Walnut Creek CA 94596-5318 |
Practice Telephone | 9252955217 |
Mailing Telephone | 9252955217 |
Enumeration Date | 2007-01-02 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
PSY 11858 | CA | Behavioral Health & Social Service Providers |
Street Address |
1425 S MAIN ST CHEMICAL DEPENDENCY PROGRAM |
City | WALNUT CREEK |
State | CA |
Zip Code | 94596-5318 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356342638 | Ingrid Wendy Fernandes | Internal Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2005-08-09 |
1982221297 | Michelle Nhumai Huynh | Pharmacist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2020-07-02 |
1144869322 | Darrell James David | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2020-01-05 |
1306484530 | Kayla Galanter | Pharmacist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-12-18 |
1184260804 | Carol Jean Mcmenamy | Social Worker | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-11-18 |
1871138990 | Gloria Yatmen Lai | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-11-12 |
1851945901 | Zsanell Go | Physical Therapist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-07-26 |
1043776453 | Bridget Rochios | Registered Nurse | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-11 |
1518423920 | Britnie Lee Milam | Respiratory Therapist, Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-11 |
1326503244 | Megan R Moore | Respiratory Therapist, Registered | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2019-02-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
Find all providers in zip 94596 |
Taxonomy Code | 103TA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154472611 | Carl Gerard Oddo | Psychologist | 710 S Broadway Fl 3, Walnut Creek, CA 94596-5294 | 2007-01-12 |
1225581804 | Shelby Karoline Smith | Psychologist | 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 | 2016-07-29 |
1508073792 | Ann Lynn Schiebert | Psychologist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-05-17 |
1497802524 | Claudia Ann Wathen | Psychologist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-01-03 |
1083781439 | Catharine Elizabeth Kibira | Psychologist | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2006-11-29 |
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Find all providers with the same taxonomy |
City | WALNUT CREEK |
Zip Code | 94596 |
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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.