DR. LESLIE WEISS GREEN (NPI# 1073646774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073646774 |
| Entity Type | Individual |
| Full Name | DR. LESLIE WEISS GREEN |
| Credential | PH.D. |
| Practice Address |
755 W Big Beaver Rd Suite 414 Troy MI 48084-4900 |
| Mailing Address |
Po Box 1563 Troy MI 48099-1563 |
| Practice Telephone | 2485930678 |
| Practice Fax Number | 2485939766 |
| Mailing Telephone | 2485930678 |
| Mailing Fax Number | 2485939766 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301005638 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS PIN | 620F33143 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316995897 | Leslie Wayne Green | Psychologist | Albany Post Road, Va Hudson Valley Health Care System, Montrose, NY 10548 | 2006-05-05 |
| 1124002597 | Leslie J Green | Ophthalmology | 1 Hatfield Ln, Ste 3 Eye Physicians of Orange County PC, Goshen, NY 10924-6752 | 2005-11-30 |
| 1659983229 | Leslie Green | Pharmacist | 2500 Mccain Blvd, North Little Rock, AR 72116-7609 | 2020-08-17 |
| 1235678723 | Leslie Green | Counselor | 120 N Dudley St, Americus, GA 31709-3410 | 2017-02-16 |
| 1871944900 | Leslie Anne Green | Nurse Anesthetist, Certified Registered | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2016-06-30 |
| 1215314588 | Leslie Green | Rehabilitation Practitioner | 2222 S 114th St, West Allis, WI 53227-1031 | 2015-05-06 |
| 1720359508 | Leslie Green | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2012-01-25 |
| 1598918427 | Leslie Suzanne Green | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2008-10-23 |
| 1669598983 | Leslie Green | Physical Therapist | 575 Dekalb Industrial Way, Suite 103, Franklin, TN 37067-2626 | 2007-03-21 |
| 1760523849 | Leslie M Green | Family Medicine | 765 N Hamilton Rd, Ste. 255, Gahanna, OH 43230-8703 | 2007-02-09 |
| Street Address |
755 W BIG BEAVER RD SUITE 414 |
| City | TROY |
| State | MI |
| Zip Code | 48084-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942290507 | Mark J Scapini | Internal Medicine | 755 W Big Beaver Rd, Suite 231, Troy, MI 48084-4900 | 2005-10-25 |
| 1245631969 | Signature Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 755 W Big Beaver Rd, Suite #1111, Troy, MI 48084-4900 | 2014-09-12 |
| 1376978643 | Ddpmd PC | Plastic Surgery | 755 W Big Beaver Rd, Suite 1200, Troy, MI 48084-4900 | 2013-09-05 |
| 1740542323 | Dental Health and Wellness Center, Pllc | Dentist | 755 W Big Beaver Rd, Suite 250, Troy, MI 48084-4900 | 2012-06-11 |
| 1851567754 | Mark J. Scapini, M.d., P.l.l.c. | Internal Medicine | 755 W Big Beaver Rd, Suite 231a, Troy, MI 48084-4900 | 2008-05-01 |
| 1922277425 | Youn Plastic Surgery Pllc | Surgery | 755 W Big Beaver Rd, Suite 1200, Troy, MI 48084-4900 | 2008-02-28 |
| 1285802660 | Clifford F Furgison | Clinical Neuropsychologist | 755 W Big Beaver Rd, Suite 414, Troy, MI 48084-4900 | 2008-02-19 |
| 1578741542 | Jean Marie Ross | Psychiatry & Neurology | 755 W Big Beaver Rd, 411, Troy, MI 48084-4900 | 2008-02-01 |
| 1144402769 | R Stewart Robertson Md Pllc | Internal Medicine | 755 W Big Beaver Rd, Suite 231b, Troy, MI 48084-4900 | 2007-12-05 |
| 1184804676 | Shikha Bhatnagar | Dentist | 755 W Big Beaver Rd, Suite 415, Troy, MI 48084-4900 | 2007-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| 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 |
|---|---|---|---|---|
| 1568943181 | Kristen Ghersi Hurrell | Psychologist | 3725 Rochester Rd, Troy, MI 48083-5244 | 2018-08-22 |
| 1225578214 | Casey Michelle Bazarewski | Psychologist | 5115 Babbit Dr, Troy, MI 48085-3448 | 2017-02-24 |
| 1902268402 | Michael Pignatiello | Psychologist | 1314 Windy Hill Ct, Troy, OH 45373-4572 | 2016-03-23 |
| 1932442829 | Jasmin Patel | Psychologist | 416 Evaline Dr, Troy, MI 48085-5509 | 2013-03-29 |
| 1851690721 | Melissa Kandah | Psychologist | 2221 Livernois Rd Ste 101, Troy, MI 48083-1603 | 2011-03-17 |
| 1205134525 | Michigan Behavioral Medicine | Psychologist | 625 E Big Beaver Road, Suite 101, Troy, MI 48083 | 2011-03-10 |
| 1710282611 | Marcie Wagner | Psychologist | 4780 Orchard Ridge Dr, Troy, MI 48098-4121 | 2011-01-24 |
| 1093832818 | James Wargel | Psychologist | 200 East Big Beaver Rd, Troy, MI 48083-1208 | 2007-03-25 |
| 1427197409 | James Clifford Kors | Psychologist | 2075 West Big Beaver, Suite 520, Troy, MI 48084 | 2007-02-06 |
| 1801949391 | John Thomas Lynch IIi | Psychologist | 3336 Essex Dr, Troy, MI 48084-2705 | 2007-01-19 |
| Find all providers in TROY | ||||
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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.