MARK GREEN (NPI# 1407075294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407075294 |
| Entity Type | Individual |
| Full Name | MARK GREEN |
| Credential | MD |
| Practice Address |
90 Concord Ave Belmont MA 02478-4046 |
| Practice Telephone | 8575982808 |
| Practice Fax Number | 8575982864 |
| Mailing Telephone | 8575982808 |
| Mailing Fax Number | 8575982864 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2015-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
222713 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
222713 | MA | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
222713 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 41035810 | 05 | |
| CO | KAISER COMMERCIAL NUMBER | 021927 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902342165 | Mark Green | Specialist/Technologist | 339 Nacoochee Dr, Rabun Gap, GA 30568-2200 | 2017-01-12 |
| 1215293261 | Mark S Green | Pharmacist | 923 W Central Park Ave, Davenport, IA 52804-1802 | 2012-04-04 |
| 1811123862 | Mark Ryan Green | Physical Therapist | 29185 Highway 191, Many, LA 71449-6313 | 2009-06-04 |
| 1770785925 | Mark Daniel Green | Dentist | 415 1st St E, Humble, TX 77338-4602 | 2007-06-01 |
| 1386760981 | Mark R Green | Dentist | 108 Vail St, Middlesex, NJ 08846-1943 | 2007-03-22 |
| 1609968544 | Mark Allen Green | Chiropractor | 2137 Dixie Hwy, Louisville, KY 40210-2242 | 2006-09-28 |
| 1841209962 | Mark Raymond Green | Dentist | 2201 Lincoln Way West, South Bend, IN 46628-2513 | 2006-08-07 |
| 1154395044 | Mark Ellison Green | Internal Medicine | 370 Bmh Physicians Office Bldg, Maryville, TN 37804-5819 | 2006-02-15 |
| 1396736336 | Mark S Green | Physician Assistant | 10040 Two Notch Rd, Columbia, SC 29223-4396 | 2005-10-31 |
| 1083162424 | Mark Green | Pharmacist | 731 Cherry Dr, Hershey, PA 17033-2099 | 2016-09-14 |
| Street Address |
90 CONCORD AVE |
| City | BELMONT |
| State | MA |
| Zip Code | 02478-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942240197 | Deborah A Van Etten | Clinical Nurse Specialist | 90 Concord Ave, Belmont, MA 02478-4046 | 2006-06-07 |
| 1265920433 | Rosenberg Audiology Inc. | Specialist/Technologist | 90 Concord Ave, Belmont, MA 02478-4046 | 2018-04-24 |
| 1093128043 | Valerie Irene Photos | Psychologist | 90 Concord Ave, Psychgarden, Floor 3, Belmont, MA 02478-4046 | 2014-06-07 |
| 1164843488 | Drew Welch | Counselor | 90 Concord Ave, Belmont, MA 02478-4046 | 2014-01-05 |
| 1841362589 | Diane Lee Grimaldi | Counselor | 90 Concord Ave, Suite #2, Belmont, MA 02478-4046 | 2006-11-15 |
| 1366531626 | Gayle Robert Nye | Audiologist | 90 Concord Ave, Belmont, MA 02478-4046 | 2006-10-12 |
| 1780789792 | Audiology Services Inc | Audiologist | 90 Concord Ave, Suite 4, Belmont, MA 02478 | 2006-09-14 |
| 1578668588 | Jean T Rosowski | Audiologist | 90 Concord Ave, Suite 4, Belmont, MA 02478 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| Find all providers in zip 02478 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336660323 | Nat Kuhn Md, LLC | Psychiatry & Neurology | 68 Leonard St Ste 208, Belmont, MA 02478-2577 | 2017-06-29 |
| 1881027282 | Carter Medical Consulting LLC | Psychiatry & Neurology | 115 Mill St Ms 213, Mclean Hospital, Belmont, MA 02478 | 2013-08-21 |
| 1669729828 | Maria Jose Lisotto | Psychiatry & Neurology | 115 Mill St # Ms 343, Belmont, MA 02478-1048 | 2012-08-07 |
| 1801038021 | Amy Funkenstein | Psychiatry & Neurology | 83 Leonard St Ste 8, Belmont, MA 02478 | 2009-04-02 |
| 1346458635 | Michael Jay Bennett | Psychiatry & Neurology | 11 Dunbarton Rd, Belmont, MA 02478-2458 | 2007-05-18 |
| 1215153408 | Michael Edward Lara Jr. | Psychiatry & Neurology | 1301 Ralston Ave Ste C, Belmont, CA 94002-1961 | 2007-04-17 |
| 1023149960 | John D Gambill | Psychiatry & Neurology | 29 Stults Rd, Belmont, MA 02478-3428 | 2007-03-09 |
| 1376679704 | Mia D Gore | Psychiatry & Neurology | Mclean Hospital, Ms 222, 115 Mill Street, Belmont, MA 02478 | 2007-02-27 |
| 1376678813 | Linda L. Cunningham | Psychiatry & Neurology | 9 Alexander Avenue, Belmont, MA 02478-4802 | 2007-02-23 |
| 1174662654 | Paul A Buttenwieser | Psychiatry & Neurology | 200 Marsh St, Belmont, MA 02478-2133 | 2007-02-05 |
| Find all providers in BELMONT | ||||
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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.