DR. MARK STEPHEN GREEN (NPI# 1033589569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033589569 |
| Entity Type | Individual |
| Full Name | DR. MARK STEPHEN GREEN |
| Credential | PH.D., L.P. |
| Practice Address |
9415 E Harry St Suite 703 Wichita KS 67207-5089 |
| Mailing Address |
1845 Fairmount St Box 91 Wichita KS 67260-0091 |
| Practice Telephone | 3169786102 |
| Mailing Telephone | 3169786102 |
| Mailing Fax Number | 3169783216 |
| Enumeration Date | 2015-09-26 |
| Last Update Date | 2015-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2354 | KS | Behavioral Health & Social Service Providers |
| 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 |
9415 E HARRY ST SUITE 703 |
| City | WICHITA |
| State | KS |
| Zip Code | 67207-5089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205830783 | Deborah C Murphy | Clinical Nurse Specialist | 9415 E Harry St, Ste 800, Wichita, KS 67207-5084 | 2005-06-13 |
| 1689169484 | Katie Edwards | Social Worker | 9415 E Harry St, Wichita, KS 67207-5089 | 2018-06-25 |
| 1144747882 | Bailey Dae Mitchell | Marriage & Family Therapist | 9415 E Harry St, Wichita, KS 67207-5089 | 2017-08-24 |
| 1801328307 | Patricia Ashlock | Counselor | 9415 E Harry St, Suite 404, Wichita, KS 67207-5089 | 2017-04-03 |
| 1114384088 | Mont Yourdon | Marriage & Family Therapist | 9415 E Harry St, Suite 501, Wichita, KS 67207-5089 | 2016-01-24 |
| 1093129959 | Serenity Hospice Care, LLC | Hospice Care, Community Based | 9415 E Harry St, Suite 302, Wichita, KS 67207-5089 | 2014-06-18 |
| 1588008015 | Huynh Chiropractic, LLC | Chiropractor | 9415 E Harry St, Ste 504, Wichita, KS 67207-5089 | 2013-04-26 |
| 1669774253 | New Life Christian Counseling Center | Marriage & Family Therapist | 9415 E Harry St, #705, Wichita, KS 67207-5089 | 2010-12-02 |
| 1386874261 | Advanced Solutions Addiction Management | Community/Behavioral Health | 9415 E Harry St, Suite 404, Wichita, KS 67207-5089 | 2009-07-25 |
| 1245419944 | Aric Daniel Cox | Chiropractor | 9415 E Harry St, Ste 207, Wichita, KS 67207-5089 | 2007-10-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225527518 | Transition Adult Home | Day Training, Developmentally Disabled Services | 7422 E Lincoln St, Wichita, KS 67207 | 2018-05-02 |
| 1558734012 | Sonnya Natria Adams | Point of Service | 8722 Longlake Circle, Wichita, KS 67207 | 2015-11-05 |
| 1245623677 | Costco Wholesale Corporation | Pharmacy | 9700 E. Kellogg, Wichita, KS 67207 | 2015-03-10 |
| 1528468105 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 9415 East Harry Street, Bldg 800, Suite P, Wichita, KS 67207 | 2014-09-02 |
| 1962819110 | Lauren Carrillo | Marriage & Family Therapist | 111 S Whittier St Ste 1500, Wichita, KS 67207 | 2014-07-21 |
| 1962827170 | Providence Home Health & Hospice LLC. | Home Health | 9415 E Harry St Ste 703, Wichita, KS 67207 | 2014-02-25 |
| 1396089892 | Christina Rhinesmith | Speech-Language Pathologist | 12618 E Willowgreen Circle, Wichita, KS 67207 | 2012-11-21 |
| 1528360047 | Compassionate Care Home Health Agency | Home Health | 9152 Funston Ct., Wichita, KS 67207 | 2010-12-04 |
| 1477769503 | Patricia Marie Sloop | Social Worker | 1950 S. Webb Rd., Unit #121, Wichita, KS 67207 | 2007-05-15 |
| 1174738298 | Jarrod S Steffan | Psychologist | 9920 East Harry, Wichita, KS 67207 | 2007-05-11 |
| Find all providers in zip 67207 | ||||
| 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 |
|---|---|---|---|---|
| 1689208860 | Jason Erickson Lcp LLC | Psychologist | 250 N Rock Rd Ste 370, Wichita, KS 67206-2243 | 2020-02-27 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1376999409 | Marcia Kennedy | Psychologist | 654 N Woodchuck St Ste F, Wichita, KS 67212-3571 | 2016-05-07 |
| 1073887345 | Andover Psychological Services Pa | Psychologist | 350 S Fountain St, Wichita, KS 67218-1326 | 2012-03-02 |
| 1912297334 | Brian J Stone | Psychologist | 1138 N Wood Ave, Wichita, KS 67212-4055 | 2011-04-19 |
| 1942506035 | Elizabeth Belt | Psychologist | 8100 E 22nd St N Ste 1600-b, Wichita, KS 67226-2321 | 2011-02-07 |
| 1831397074 | Karen Liebenau | Psychologist | 1219 N Rutland St, Wichita, KS 67206-3837 | 2007-07-10 |
| 1275684433 | Shawn Patrick Padgett | Psychologist | 801 E Douglas Ave # 2, Wichita, KS 67202-3548 | 2007-01-15 |
| 1386729143 | Heartspring Inc | Psychologist | 8700 East 29th Street North, Wichita, KS 67226-2169 | 2006-10-27 |
| 1457448201 | Wayne C Piersel | Psychologist | 8700 E 29th Street North, Wichita, KS 67226-2169 | 2006-10-05 |
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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.