DR. ALEXANDER C GREEN (NPI# 1770764326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770764326 |
Entity Type | Individual |
Full Name | DR. ALEXANDER C GREEN |
Credential | MD DLFAPA |
Practice Address |
12520 High Bluff Dr Ste 375 San Diego CA 92130 |
Practice Telephone | 8587932202 |
Practice Fax Number | 8587932205 |
Mailing Telephone | 8587932202 |
Mailing Fax Number | 8587932205 |
Enumeration Date | 2007-11-23 |
Last Update Date | 2007-11-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
G47186 | CA | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G47186 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326299223 | Alexander M. Green | Counselor | 12 Trull St, #1, Dorchester, MA 02125-2126 | 2008-10-09 |
1336638238 | Alexander Green | Student in an Organized Health Care Education/Training Program | 4433 Vestal Pkwy E Fl 2, Vestal, NY 13850-3556 | 2018-05-07 |
1255784039 | Alexander Ryan Green | Specialist/Technologist | 7500 Sw 30th St, Davie, FL 33314-1020 | 2016-07-18 |
1568858751 | Alexander J Green | Chiropractor | 8993 Cotswold Dr, Burke, VA 22015-1666 | 2015-04-14 |
1093896284 | Alexander Green | Internal Medicine | 2160 S 1st Ave, Building 110 Room 6286, Maywood, IL 60153-3328 | 2006-10-17 |
1548251853 | Alexander R Green | Internal Medicine | 15 Parkman St, Wac 6, Boston, MA 02114-2696 | 2005-11-04 |
Street Address |
12520 HIGH BLUFF DR STE 375 |
City | SAN DIEGO |
State | CA |
Zip Code | 92130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518908680 | Stacey A Goodman Eaton | Social Worker | 12520 High Bluff Dr, Ste 135, San Diego, CA 92130-3066 | 2006-06-09 |
1245771260 | Falcone Institute, Educational Child and Family Therapist | Speech-Language Pathologist | 12520 High Bluff Dr, Suite 100, San Diego, CA 92130-2041 | 2017-03-09 |
1861635351 | Madeline Falcone | Marriage & Family Therapist | 12520 High Bluff Dr, Ste 100, San Diego, CA 92130-2041 | 2009-04-13 |
1033306071 | Steven Parker James | Psychiatry & Neurology | 12520 High Bluff Dr, Suite 120, San Diego, CA 92130-2041 | 2007-10-03 |
1629296140 | Michele Laks London | Social Worker | 12520 High Bluff Dr, #135, San Diego, CA 92130-2041 | 2007-04-22 |
1699896365 | Rene Lee Williamson | Counselor | 12520 High Bluff Dr, Suite 120, San Diego, CA 92130-2041 | 2007-04-02 |
1366562332 | Jason Stuart Schildhaus | Counselor | 12520 High Bluff Dr, Suite 120, San Diego, CA 92130-2041 | 2007-03-30 |
1285720441 | Susan Reiner Erman | Psychiatry & Neurology | 12520 High Bluff Dr, 135, San Diego, CA 92130-2041 | 2006-10-05 |
1689780512 | David James Seitz | Psychiatry & Neurology | 12520 High Bluff Dr, Suite 135, San Diego, CA 92130-2041 | 2006-08-22 |
1851405765 | Coastal Psychiatric Medical Associates, Inc. | Psychologist | 12520 High Bluff Dr, Suite 120, San Diego, CA 92130-2041 | 2006-08-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
Find all providers in zip 92130 |
Taxonomy Code | 2084F0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Forensic Psychiatry |
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235362237 | Eric Henry Marcus | Psychiatry & Neurology | 2648 W Canyon Ave, San Diego, CA 92123-4684 | 2009-08-25 |
1093918807 | Yufang Jennifer Chang | Psychiatry & Neurology | 302 Washington St # 946, San Diego, CA 92103-2110 | 2007-06-08 |
1225139314 | Matthew Carroll | Psychiatry & Neurology | 3131 Camino Del Rio N Ste 270, San Diego, CA 92108-5703 | 2006-09-25 |
1558467118 | Benjamin Bensoul | Psychiatry & Neurology | 981 Manor Way, San Diego, CA 92106-2035 | 2006-09-14 |
1265458087 | David Naimark | Psychiatry & Neurology | 220 W Broadway, #1003, San Diego, CA 92101-3886 | 2006-07-14 |
1801811104 | Raphael Adam Morris | Psychiatry & Neurology | 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 | 2006-07-13 |
1841440419 | Jason R. Kornberg, M.d., A Professional Corporation | Psychiatry & Neurology | 591 Camino De La Reina, Suite #820, San Diego, CA 92108-3102 | 2008-09-19 |
1649496092 | Dominick Addario | Psychiatry & Neurology | 3010 1st Ave, San Diego, CA 92103-5816 | 2007-04-17 |
1154443786 | J. Brand Brickman | Psychiatry & Neurology | 2477 Congress St, San Diego, CA 92110-2820 | 2007-04-04 |
1073685764 | Jason R. Kornberg | Psychiatry & Neurology | 591 Camino De La Reina, Suite #820, San Diego, CA 92108-3102 | 2006-11-15 |
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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.