DR. LINDA T GREEN (NPI# 1881683050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881683050 |
| Entity Type | Individual |
| Full Name | DR. LINDA T GREEN |
| Credential | PSYD |
| Practice Address |
10 W Square Lake Rd Suite 104 Bloomfield Hills MI 48302-0465 |
| Practice Telephone | 2482588899 |
| Practice Fax Number | 2482874633 |
| Mailing Telephone | 2482588899 |
| Mailing Fax Number | 2482874633 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2011-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301005056 | MI | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | AETNA | 7215028 | 01 |
| MI | CAQH | 11277424 | 01 |
| MI | VALUE OPTIONS | 119609 | 01 |
| MI | MAGELLAN | 298871000 | 01 |
| MI | BCBS | 620F348200 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659928182 | Linda Sue Green | Technician | 3700 Bent Oak Dr, Columbia, MO 65203-5890 | 2019-08-20 |
| 1871970822 | Linda Green | Nurse Practitioner | 7311 Fairmount Hwy Se, Calhoun, GA 30701-4024 | 2015-04-29 |
| 1407270820 | Linda Denise Green | Home Health Aide | 1338 G St Se, Washington, DC 20003-3096 | 2014-02-05 |
| 1568786929 | Linda Green | Nurse's Aide | 2215 Selim Ave, Apt 3, Cincinnati, OH 45214-1500 | 2010-03-15 |
| 1649423633 | Linda Marie Green | Licensed Practical Nurse | 3312 Seymour Ave, Bronx, NY 10469-2916 | 2008-11-04 |
| 1205028313 | Linda Wright Green | Counselor | 13700 San Pablo Ave Apt 1103, San Pablo, CA 94806-3700 | 2007-08-13 |
| 1699725671 | Linda Haynie Green | Internal Medicine | 4103 Stemley Bridge Rd, Pell City, AL 35128-7519 | 2006-05-11 |
| 1699249912 | Linda Kim Green | Physical Therapy Assistant | 5800 W Baker Rd, Baytown, TX 77520-1618 | 2019-01-21 |
| 1467986844 | Linda Ann Green | Registered Nurse | 4015 Gateway Blvd Ste 2120, Newburgh, IN 47630-9460 | 2017-04-12 |
| 1679929046 | Linda Green | Registered Nurse | 1010 N Prospect St, Bowling Green, OH 43402-1335 | 2016-05-04 |
| Street Address |
10 W SQUARE LAKE RD SUITE 104 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-0465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902890015 | Suha F Kassab | Podiatrist | 10 W Square Lake Rd, Ste. 300, Bloomfield Hills, MI 48302-0465 | 2005-09-02 |
| 1235515354 | Premiercare Health Services, Inc. | Home Health | 10 W Square Lake Rd, Suite 219, Bloomfield Hills, MI 48302-0465 | 2015-07-31 |
| 1043618341 | Judith Shredneski | Counselor | 10 W Square Lake Rd, Suite 302, Bloomfield Hills, MI 48302-0465 | 2014-12-18 |
| 1689073223 | Counseling of Mind Center LLC | Clinic/Center | 10 W Square Lake Rd, Suite 302, Bloomfield Hills, MI 48302-0465 | 2014-08-20 |
| 1558671370 | Advanced Dental Imaging of Michigan, Pllc | Dentist | 10 W Square Lake Rd, Suite 305, Bloomfield Hills, MI 48302-0465 | 2010-10-14 |
| 1235469370 | Pamela Jane Lyle | Social Worker | 10 W Square Lake Rd, Suite 221, Bloomfield Hills, MI 48302-0465 | 2010-01-13 |
| 1588994883 | Andrea Jean Cooley | Counselor | 10 W Square Lake Rd, Suite 221, Bloomfield Hills, MI 48302-0465 | 2010-01-08 |
| 1376877142 | Frank J. Greene M.d., P.C. | Clinic/Center | 10 W Square Lake Rd, Suite 222, Bloomfield Hills, MI 48302-0465 | 2009-09-28 |
| 1336383611 | Lindsay C Laboda | Social Worker | 10 W Square Lake Rd, Suite 302, Bloomfield Hills, MI 48302-0465 | 2009-04-30 |
| 1447494737 | Katherine Aileen Vance | Social Worker | 10 W Square Lake Rd, Suite 103, Bloomfield Hills, MI 48302-0465 | 2009-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198897 | Caitlin Reid | Psychologist | 5620 Woodland Pass, Bloomfield Hills, MI 48301-1227 | 2020-09-15 |
| 1568940930 | Darcy Donnelly Phd PC | Psychologist | 39520 Woodward Ave Ste 233, Bloomfield Hills, MI 48304-5059 | 2018-07-30 |
| 1811352230 | Freda B. Lerman, Lpc, Psyd, Lp, Pllc | Psychologist | 6905 Telegraph Road Suite 100, Bloomfield Hills, MI 48301 | 2015-12-30 |
| 1770969628 | Lindsay Najor | Psychologist | 1750 S Telegraph Road, Suite 101, Bloomfield Hills, MI 48302-1777 | 2015-08-03 |
| 1043561921 | Laurene Saad Younis | Psychologist | 43902 Woodward Ave Ste 230, Bloomfield Hills, MI 48302-5022 | 2012-10-02 |
| 1871865535 | Kari Coburn | Psychologist | 1750 S. Telegraph Road, Suite 101, Bloomfield Hills, MI 48302-0177 | 2012-01-27 |
| 1124395363 | John Clinton Flatter | Psychologist | 7 West Square Lake Road, Suite 135, Bloomfield Hills, MI 48302-0462 | 2011-11-16 |
| 1518244953 | Benjamin R Bennett-carpenter | Psychologist | 39221 Woodward Ave, Unit 107, Bloomfield Hills, MI 48304-5162 | 2011-11-14 |
| 1023392677 | Deborah Margaret Snyder | Psychologist | 4960 Ranch Ln, Bloomfield Hills, MI 48302-2448 | 2011-09-30 |
| 1376843938 | Darlene Patricia Sosnick | Psychologist | 4585 Kirkcaldy Rd, Bloomfield Hills, MI 48304-3748 | 2010-10-29 |
| Find all providers in BLOOMFIELD HILLS | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
Please comment or provide details below to improve the information on DR. LINDA T 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.