DR. KELLY ELIZABETH GREEN (NPI# 1467685107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467685107 |
| Entity Type | Individual |
| Full Name | DR. KELLY ELIZABETH GREEN |
| Credential | PH.D. |
| Practice Address |
5524 Bee Caves Road Suite G-2 Austin TX 78746 |
| Practice Telephone | 5125851178 |
| Mailing Telephone | 5125851178 |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2016-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533728 | Kelly M Green | Dietitian, Registered | 12201 Stanfield Ct, Bowie, MD 20720-4439 | 2020-06-18 |
| 1093295263 | Kelly Green | Psychologist | 3535 Market St Ste 3037, Philadelphia, PA 19104-3313 | 2018-08-17 |
| 1558802975 | Kelly Green | Counselor | 15336 Devonshire St Unit 6, Mission Hills, CA 91345-2755 | 2017-03-18 |
| 1255887386 | Kelly Green | Physician Assistant | 1237 Shirehall Park Ln, Wake Forest, NC 27587-0601 | 2016-08-29 |
| 1730589565 | Kelly Green | Physical Therapist | 3014 Boaires Ln, Louisville, KY 40220-2428 | 2014-08-29 |
| 1437249547 | Kelly Ray Green | Pediatrics | 19087b Greeno Rd, Fairhope, AL 36532-3899 | 2006-10-13 |
| 1801803572 | Kelly Elaine Green | Social Worker | 1604 S W S Young Dr, Killeen, TX 76543-5003 | 2006-08-02 |
| 1649230947 | Kelly Patrick Green | Optometrist | 7437 Burnet Rd, Austin, TX 78757-2244 | 2006-03-23 |
| 1346804721 | Kelly R Green | Case Manager/Care Coordinator | 2540 Billingsley Rd, Columbus, OH 43235-1990 | 2019-05-01 |
| 1235646274 | Kelly Michelle Green | Registered Nurse | 2409 Homer Clayton Dr, Guntersville, AL 35976-2207 | 2017-12-29 |
| Street Address |
5524 BEE CAVES ROAD SUITE G-2 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528206380 | Sue Snyder Pederson | Social Worker | 5524 Bee Caves Road, Suite G-1, Austin, TX 78746 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1205468782 | Fernanda Barcelo | Counselor | 1004 Mopac Circle, Suite 100, Austin, TX 78746 | 2020-02-12 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1992354765 | Janna Harris | Psychologist | 3801 N. Cap. Tx. Hwy; E240-157, Austin, TX 78746 | 2019-09-05 |
| 1922652346 | Katherine Grace Robertson | Registered Nurse | 2001 South Mopac Expwy, #824, Austin, TX 78746 | 2019-07-25 |
| 1780248252 | Brooklie Benson Gonzales | Counselor | 5000 Bee Caves Road, Suite 100, Austin, TX 78746 | 2019-04-30 |
| 1447714910 | Erik Jensen Lpc Pllc | Counselor | 3811 Bee Caves Road, Suite 204, Austin, TX 78746 | 2019-01-29 |
| 1588137897 | Sarah Akunebu | Marriage & Family Therapist | 2525 Wallingwood Dr., Bldg. 1, Suite 211, Austin, TX 78746 | 2019-01-09 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1891277190 | Thrive Mind Therapy Pllc | Counselor | 1406 Camp Craft Rd Ste 205, West Lake Hills, TX 78746 | 2018-09-04 |
| Find all providers in zip 78746 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619503497 | Kim Praderas Pllc | Psychologist | 3301 Northland Dr Ste 320, Austin, TX 78731-4952 | 2020-03-12 |
| 1427693928 | The University of Texas At Austin | Psychologist | 100 W Dean Keeton St., Austin, TX 78712 | 2019-11-08 |
| 1528618774 | Psicologia Psychology Pllc | Psychologist | 2500 W William Cannon Dr Ste 703, Austin, TX 78745-5252 | 2019-09-18 |
| 1023574761 | Con Alma Therapy, Pllc | Psychologist | 2222 Western Trails Blvd Ste 107, Austin, TX 78745-1601 | 2019-02-19 |
| 1831660364 | Neisha Hootman | Psychologist | 5555 N Lamar Blvd Ste E125, Austin, TX 78751-1052 | 2018-12-10 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1346736741 | Samuel Andrew Donaldson | Psychologist | 1308 Walnut Ave, Austin, TX 78702-1530 | 2018-07-09 |
| 1194214940 | Emily B. Kerzin | Psychologist | 3006 Bee Caves Rd, Ste. D-310, Austin, TX 78746 | 2018-05-08 |
| 1740797596 | Serena Messina | Psychologist | 1907 N Lamar Blvd Ste 230, Austin, TX 78705-4929 | 2018-01-02 |
| 1215446067 | Dr. Barbara Lee Corff Pllc | Psychologist | 12343 Hymeadow Dr Ste 3b, Austin, TX 78750-1858 | 2017-09-25 |
| Find all providers in AUSTIN | ||||
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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.