DEBORAH GREEN


Address: 60 Fenwood Rd, Department of Neurology, Boston, MA 02115-6128
Phone: 6177328060

DEBORAH GREEN (NPI# 1952852154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952852154
Entity Type Individual
Full Name DEBORAH GREEN
Credential PH.D.
Practice Address 60 Fenwood Rd
Department of Neurology
Boston
MA 02115-6128
Practice Telephone 6177328060
Enumeration Date 2016-10-23
Last Update Date 2016-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 10460 MA Behavioral Health & Social Service Providers

Other Providers DEBORAH GREEN

NPI Name Taxonomy Address Enumeration
1770038176 Deborah Nervena Green Registered Nurse 111 Mardi Gras Dr, Pittsburgh, PA 15239-2407 2016-08-16
1942598008 Deborah Renee Green Assisted Living Facility 5033 Doolittle Blvd, Houston, TX 77033-3494 2011-07-11
1114068483 Deborah Green Social Worker 16401 Black Bear Cir, Anchorage, AK 99516-6951 2007-02-09
1700959947 Deborah Anna Green Social Worker 221 Westwood Plaza, Caps-ucla, Los Angeles, CA 90095 2006-11-16
1902411671 Deborah C. Green Technician 87 Swierkos Dr, Moundsville, WV 26041-4209 2020-09-10
1881153575 Deborah Green Specialist/Technologist, Other 2520 Elisha Ave, Zion, IL 60099-2676 2019-03-13
1679039515 Deborah Green Licensed Practical Nurse 6 Roberts Rd Ste 103, Asheville, NC 28803-6631 2019-02-15
1417479874 Deborah Green Registered Nurse 2175 Lexington Blvd Bldg 2, Washington, IA 52353-9108 2017-07-07
1922344811 Deborah Lynn Green Behavioral Analyst 3003 Northup Way, Suite 200, Bellevue, WA 98004-1471 2012-12-20
1467738260 Deborah Lynn Green Dietitian, Registered 2980 Se 3rd Ct, Ocala, FL 34471-0421 2011-10-25

Office Location

Street Address 60 FENWOOD RD
DEPARTMENT OF NEUROLOGY
City BOSTON
State MA
Zip Code 02115-6128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881619088 Laura Morrissey Social Worker 60 Fenwood Rd, Boston, MA 02115-6128 2006-07-12
1689204356 John Michael Sullivan Physician Assistant 60 Fenwood Rd, Boston, MA 02115-6128 2020-01-22
1841856044 Alexandra Leaverton Physician Assistant 60 Fenwood Rd, Boston, MA 02115-6128 2019-05-13
1053872895 Emma Eleanor Taylor Pennock Physician Assistant 60 Fenwood Rd, Boston, MA 02115 2019-03-26
1538624135 Nathaniel Bernardo Physician Assistant 60 Fenwood Rd, Boston, MA 02115-6128 2019-02-07
1205307600 Margaret E Naclerio Physician Assistant 60 Fenwood Rd, Boston, MA 02115-6128 2018-12-10
1144700535 Nadim Jiwa Psychiatry & Neurology 60 Fenwood Rd, Boston, MA 02115-6128 2018-08-15
1972009033 Sanjali Kumar Student in an Organized Health Care Education/Training Program 60 Fenwood Rd, Boston, MA 02115-6128 2018-04-05
1699270710 Nishant Kumar Gupta Student in an Organized Health Care Education/Training Program 60 Fenwood Rd, Boston, MA 02115-6128 2018-03-29
1992200125 Natalie Feldman Student in an Organized Health Care Education/Training Program 60 Fenwood Rd, Boston, MA 02115-6128 2018-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1679189112 Tara Baxter Orthopaedic Surgery Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 2020-09-21
1053923110 Wendy Tu Student in an Organized Health Care Education/Training Program 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 2020-08-20
1477177335 Nicolas Wyvekens Student in an Organized Health Care Education/Training Program 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 2020-06-05
1669095923 Erin Crocker Student in an Organized Health Care Education/Training Program Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 2020-05-21
1033732417 Tyler Francis Hayes Student in an Organized Health Care Education/Training Program Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 2020-05-20
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1427678093 Meghan Miles Student in an Organized Health Care Education/Training Program 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 2020-04-23
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154949873 Erica Rose Appleman Clinical Neuropsychologist 134 Horace St, Boston, MA 02128-1581 2020-07-09
1154870814 Jessica Pan Clinical Neuropsychologist 1 Bowdoin St, 7th Floor, Boston, MA 02114-4201 2016-09-22
1033524913 Grant Loren Iverson Clinical Neuropsychologist Home Base Program, 101 Merrimac Street, 2nd Floor, Boston, MA 02114 2014-06-30
1396175410 Daniel R. Seichepine Clinical Neuropsychologist 725 Albany St # 7b, Boston Medical Center, Boston, MA 02118-2526 2013-11-27
1235566647 Todd M Solomon Clinical Neuropsychologist 72 East Concord Street, B-7800, Boston University School of Medicine, Boston, MA 02118 2013-09-30
1598015984 Neuropath LLC Clinical Neuropsychologist 106 Queensberry St, # 18, Boston, MA 02215-4713 2012-09-13
1619236718 Justin Centi Clinical Neuropsychologist 185 Devonshire St Ste 901b, Boston, MA 02110-1407 2012-05-09
1740513886 Aparna Rao Clinical Neuropsychologist 75 Arlington St, Suite 500, Boston, MA 02116-3936 2009-09-08
1386845998 Andrea L Piatt Clinical Neuropsychologist 321 Columbus Ave Ste 3, Boston, MA 02116-5168 2007-05-30
1417158288 Robyn Kervick Clinical Neuropsychologist 160 Commonwealth Avenue, Suite U3, Boston, MA 02116 2007-05-30
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Competitor

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City BOSTON
Zip Code 02115

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Dataset Information

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.

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