LEON GREEN PH.D. NPI 1194820464

NPI Information

  • NPI: 1194820464
  • Provider Name: LEON GREEN, PH.D.
  • Classification: Psychologist - 103T00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 39 GAGE ROAD
    EAST BRUNSWICK, NJ
    ZIP 08816
  • Phone: (732) 545-2890

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NPI Details

Leon Green, PH.D. is a psychologist in East Brunswick, NJ. The provider is 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. Leon Green, PH.D. NPI is 1194820464. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

39 GAGE ROAD
EAST BRUNSWICK, NJ
ZIP 08816
Phone: (732) 545-2890
Fax: (732) 545-2890

The NPI 1194820464 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist35SI00202600NEW JERSEYYes
2103TB0200XPsychologistCognitive & Behavioral35SI00202600NEW JERSEYNo
3103TC0700XPsychologistClinical35SI00202600NEW JERSEYNo
4103TH0100XPsychologistHealth Service35SI00202600NEW JERSEYNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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