DR. KRISTEN W GREEN (NPI# 1356525018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356525018 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN W GREEN |
| Credential | PH.D. |
| Practice Address |
430 Prior Street Ne Gainesville GA 30501 |
| Practice Telephone | 6789715355 |
| Practice Fax Number | 6789715359 |
| Mailing Telephone | 6789715355 |
| Mailing Fax Number | 9789715359 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2012-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6276 | OH | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
003114 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518459171 | Kristen Green | Behavior Technician | 604 W Moana Ln, Reno, NV 89509-4903 | 2018-05-30 |
| 1295259653 | Kristen M Green | Specialist | 2058 Maple Ave Apt Al2-6, Hatfield, PA 19440-1517 | 2017-07-27 |
| 1104128057 | Kristen Green | Speech-Language Pathologist | 512 Arbutus Dr E, Roanoke Rapids, NC 27870-2272 | 2010-11-29 |
| 1720116387 | Kristen Hillary Green | Optometrist | 7025 Park Centre Dr, Salt Lake City, UT 84121-6619 | 2007-03-02 |
| 1093891145 | Kristen M Green | Specialist | 102 Marble River Rd, Chateaugay, NY 12920-3600 | 2006-10-31 |
| 1013524008 | Kristen Green | Behavioral Analyst | 6849 Peachtree Dunwoody Rd Bldg A1, Atlanta, GA 30328-6769 | 2020-09-24 |
| 1063049336 | Kristen Nina Grace Green | Student in an Organized Health Care Education/Training Program | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-03-25 |
| 1235624941 | Kristen Green | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2018-06-25 |
| 1043704828 | Kristen Green | Dentist | 242 W Clinton St, Gray, GA 31032-5430 | 2018-06-15 |
| 1225525108 | Kristen Jessica Green | Occupational Therapy Assistant | 3500 N Rock Rd Ste 101, Wichita, KS 67226-1341 | 2018-04-17 |
| Street Address |
430 PRIOR STREET NE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487986493 | Chattahoochee Child Psychology | Psychologist | 430 Prior Street Ne, Gainesville, GA 30501 | 2010-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780773812 | Guy W Jordan | Psychologist | 1566 Thompson Bridge Rd, Gainesville, GA 30501-1714 | 2006-10-12 |
| 1649231242 | Joellen Laveigne | Psychologist | 3942 Sw 97th Dr, Gainesville, FL 32608-4667 | 2006-03-31 |
| 1487060687 | Brian T Olsen | Psychologist | 8491 Nw 39th Ave, Gainesville, FL 32606-5635 | 2014-07-08 |
| 1487986493 | Chattahoochee Child Psychology | Psychologist | 430 Prior Street Ne, Gainesville, GA 30501 | 2010-02-02 |
| 1770791360 | Elizabeth P Dizney | Psychologist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538693254 | Rachel Yosick | Psychologist | 520 Wembley Cir, Sandy Springs, GA 30328-6753 | 2017-04-19 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1245655893 | Tiffany Gilmore Randell | Psychologist | 101 Devant Street, Office 401, Fayetteville, GA 30214 | 2014-02-19 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1720409493 | Tonya Favors | Psychologist | 311 S Lee St, Apt C, Americus, GA 31709-3971 | 2013-12-26 |
| 1912336546 | Francine Adams | Psychologist | 324 Trace Ln, Lawrenceville, GA 30046-2896 | 2013-11-04 |
| 1447542691 | Erin Marie Jones | Psychologist | 1256 Briarcliff Rd Ne Ste 322e, Atlanta, GA 30306-2636 | 2011-05-06 |
| 1164729901 | Tiffany Whitworth | Psychologist | 4139 Hospital Dr Ne, Covington, GA 30014-2565 | 2011-02-14 |
| 1548573264 | Kimberley Blaker Saye | Psychologist | 4695 Mahonia Way Nw, Acworth, GA 30102-3575 | 2010-07-22 |
| 1316269350 | Caitlin Herzinger Delfs | Psychologist | 4994 Lower Roswell Rd Ste 10, Marietta, GA 30068-4332 | 2010-02-18 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on DR. KRISTEN W GREEN.
| 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.