DR. MYRNA S GREEN (NPI# 1467529776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467529776 |
| Entity Type | Individual |
| Full Name | DR. MYRNA S GREEN |
| Credential | PH.D., CA LICENSED P |
| Practice Address |
440 Sherman Avenue Suite 103 Palo Alto CA 94306 |
| Practice Telephone | 6503281417 |
| Practice Fax Number | 6504248788 |
| Mailing Telephone | 6503281417 |
| Mailing Fax Number | 6504248788 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY 5092 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY5092 | CA | Behavioral Health & Social Service Providers |
| Street Address |
440 SHERMAN AVENUE SUITE 103 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126538 | Vasily Salov | Massage Therapist | 2313 Park Blvd, Palo Alto, CA 94306 | 2020-08-25 |
| 1568982569 | Shian Hong | Registered Nurse | 270 Grant Avenue, Palo Alto, CA 94306 | 2017-06-21 |
| 1386092229 | Woo Jung Park | Acupuncturist | 4290 Wilkie Way #c, Palo Alto, CA 94306 | 2016-06-01 |
| 1225442205 | Keiko Gill | Chiropractor | 480 California Ave Ste 103, Palo Alto, CA 94306 | 2014-06-17 |
| 1093147092 | Thuy Nguyen | Optometrist | 109 California Ave Ste D101a, Palo Alto, CA 94306 | 2013-08-01 |
| 1750685293 | Erica Mikhli | Physician Assistant | 300 Pasteur Drive Cvrb 2nd Floor, Stanford, CA 94306 | 2010-12-24 |
| 1225262553 | Rina Biren Shah | Family Medicine | 270 Grant Ave., Mayview Community Health Center, Palo Alto, CA 94306 | 2009-05-14 |
| 1669640173 | Leah Zialcita | Physical Therapist | 2345 Yale Street, Palo Alto, CA 94306 | 2008-02-19 |
| 1578761631 | Mary June Asenathe Wagner | Dentist | 1795 El Camino Real #100, Palo Alto, CA 94306 | 2007-07-10 |
| 1972628923 | Lillian Landsman Burt | Social Worker | 2 Roosevelt Circle, Palo Alto, CA 94306 | 2007-03-20 |
| Find all providers in zip 94306 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255941753 | Mindy Penzias Dirks | Psychologist | 635 Bryant St # 7, Palo Alto, CA 94301-2502 | 2020-08-09 |
| 1306492236 | Johnna Leigh Medina | Psychologist | 401 Quarry Rd # Mc5718, Palo Alto, CA 94304-1419 | 2019-08-15 |
| 1962973321 | Hannah Leslie Weisman | Psychologist | 248 Homer Ave, Palo Alto, CA 94301-2722 | 2018-12-11 |
| 1235606401 | Karen E Otte | Psychologist | 550 Hamilton Ave Ste 240, Palo Alto, CA 94301-2044 | 2018-10-25 |
| 1124594114 | John Paul Rettger | Psychologist | 407 California Ave Ste 10, Palo Alto, CA 94306-1861 | 2018-10-17 |
| 1801361068 | Teresa Yeong-yi Pan | Psychologist | 3801 Miranda Avenue (116b), Palo Alto, CA 93404 | 2018-10-03 |
| 1992294920 | Kile Malcolm Ortigo | Psychologist | 415 Cambridge Ave Ste 8, Palo Alto, CA 94306-1608 | 2018-05-04 |
| 1003335936 | Yelena Blank | Psychologist | 3801 Miranda Ave # 116f, Palo Alto, CA 94304-1207 | 2017-09-12 |
| 1043735970 | Megan Elizabeth Kelly | Psychologist | 401 Quarry Rd # Mc5722, Palo Alto, CA 94304-1419 | 2017-08-11 |
| 1790145092 | Eval Gal-oz | Psychologist | 415 Cambridge Ave Ste 3, Palo Alto, CA 94306-1608 | 2016-02-29 |
| Find all providers in PALO ALTO | ||||
Please comment or provide details below to improve the information on DR. MYRNA S 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.