HEIDI LOUISE GREEN (NPI# 1902825995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902825995 |
| Entity Type | Individual |
| Full Name | HEIDI LOUISE GREEN |
| Credential | M.D. |
| Practice Address |
4020 Capital Blvd Ste 102 Carolina Community Mental Health Centers Raleigh NC 27604-3474 |
| Practice Telephone | 9198753211 |
| Practice Fax Number | 9198754122 |
| Mailing Telephone | 9198753211 |
| Mailing Fax Number | 9198754122 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
200300796 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE | 2018243A | 01 |
| NC | 89134VC | 05 | |
| NC | BCBS | 134VC | 01 |
| HUMANA GOLD CHOICE | 477015 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235220633 | Heidi Green | Chiropractor | 3509 Braselton Hwy Bldg F, Dacula, GA 30019-1027 | 2006-09-28 |
| 1720461239 | Heidi Green | Psychologist | 7530 E Angus Dr, Scottsdale, AZ 85251-6410 | 2015-07-01 |
| 1477814655 | Heidi Marie Green | Case Manager/Care Coordinator | 1688 N Perris Blvd, Suite L 7-11, Perris, CA 92571-4709 | 2012-06-04 |
| 1083879928 | Heidi B Green | Anesthesiology | 707 Sw Washington St, Suite 700, Portland, OR 97205-3536 | 2008-07-21 |
| 1750504015 | Heidi Lauren Green | Physical Therapist | 124 E 40th St, Suite 1002, New York, NY 10016-1723 | 2007-04-11 |
| Street Address |
4020 CAPITAL BLVD STE 102 CAROLINA COMMUNITY MENTAL HEALTH CENTERS |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-3474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538427646 | Laura E Ziemer | Social Worker | 4020 Capital Blvd Ste 102, Raleigh, NC 27604-3474 | 2012-04-26 |
| 1689945818 | Thomas Jason Hill | Social Worker | 4020 Capital Blvd Ste 102, Raleigh, NC 27604-3474 | 2012-01-19 |
| 1184859761 | Carolina Community Mental Health Centers, Inc | Community/Behavioral Health | 4020 Capital Blvd Ste 102, Raleigh, NC 27604-3474 | 2009-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 1851890750 | Sasilana Letreva Burden | In Home Supportive Care | 4000 Northstone Drive Apt 307, Raleigh, NC 27604 | 2018-02-06 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1902326044 | Ngozi Ifeoma Osiebo | Nurse Practitioner | 4608 Wedgewood Drive, Raleigh, NC 27604 | 2017-06-20 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1972969913 | Shivas Gilotra | Nurse Practitioner | 805 Oberlin Road, Ste 200, Raleigh, NC 27604 | 2016-01-06 |
| 1609247915 | Charisse Justine Young | Social Worker | 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 | 2015-10-13 |
| 1356748933 | John T Hart | Counselor | 1115-113 Cove Bridge Road, Raleigh, NC 27604 | 2014-11-26 |
| Find all providers in zip 27604 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194237545 | North Raleigh Mental Health and Wellness, Pllc | Psychiatry & Neurology | 920d Paverstone Dr, Raleigh, NC 27615-4701 | 2017-10-25 |
| 1679978704 | J Lauren Suggs | Psychiatry & Neurology | 920 Paverstone Dr # D, Raleigh, NC 27615-4723 | 2014-10-31 |
| 1790196988 | Julia Tan | Psychiatry & Neurology | Unc Wakebrook 107 Sunnybrook Rd, Raleigh, NC 27610 | 2014-05-10 |
| 1912240425 | Lauren Michelle Townes Isbell | Psychiatry & Neurology | 1520 Sunday Dr Ste 320, Raleigh, NC 27607 | 2013-04-03 |
| 1073884789 | Melange Health Solutions, LLC | Psychiatry & Neurology | 4805 Green Rd, Suite 103, Raleigh, NC 27616-2848 | 2012-01-26 |
| 1811283500 | Michelle Samson Maust | Psychiatry & Neurology | 1130 Situs Ct Ste 190, Raleigh, NC 27606-5001 | 2011-06-22 |
| 1285928440 | Asa Lee Cordle | Psychiatry & Neurology | 3900 Browning Pl Ste 201, Raleigh, NC 27609-6530 | 2011-06-06 |
| 1477878437 | Fathima Farheen Reyman | Psychiatry & Neurology | 2321 Blue Ridge Rd Ste 102, Raleigh, NC 27607-6453 | 2010-04-02 |
| 1205158664 | North Raleigh Mental Health, Pa | Psychiatry & Neurology | 920 Paverstone Drive, Suite D, Raleigh, NC 27615 | 2010-02-25 |
| 1356522809 | Richard H Weisler | Psychiatry & Neurology | 700 Spring Forest Rd, Ste 125, Raleigh, NC 27609-9124 | 2007-11-26 |
| Find all providers in RALEIGH | ||||
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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.