HARRIETTE DENICE GREEN MD NPI 1700812765

NPI Information

NPI: 1700812765
Provider Name: HARRIETTE DENICE GREEN, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
1055 W HENDERSON AVE
PORTERVILLE, CA
ZIP 93257
Phone: (559) 788-1250
Get Directions

Harriette Denice Green, MD is a child and adolescent psychiatry psychiatry neurology in Porterville, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Harriette Denice Green, MD NPI is 1700812765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1055 W HENDERSON AVE
PORTERVILLE, CA
ZIP 93257-490
Phone: (559) 788-1250
Fax: (559) 782-4712

The NPI 1700812765 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, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 1/19/2021.

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
1	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	4301050673	MICHIGAN	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	4301050673	MICHIGAN	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	051654	GEORGIA	No
4	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	4301050673	MICHIGAN	No
5	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	4301050673	MICHIGAN	No
6	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	C144317	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	4732421	MEDICAID	MICHIGAN
2	4732440	MEDICAID	MICHIGAN
3	4732430	MEDICAID	MICHIGAN
4	4732412	MEDICAID	MICHIGAN

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: 11/14/2023

NPI Synchronization or Removal

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