KELLY K GREENE PC
NPI 1003950536
Clinical Neuropsychologist in Traverse City, MI

Q: What is Kelly K Greene PC's NPI number?

The NPI number for Kelly K Greene PC is 1003950536. It was assigned to this organization in the NPPES registry on February 17, 2007.

Q: What is Kelly K Greene PC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly K Greene PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 17, 2007

921 W 11TH ST STE 1W, TRAVERSE CITY, MI 49684(231) 929-9040(231) 929-5586 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly K Greene Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY K GREENE PC (NPI 1003950536) is a healthcare organization registered as a clinical neuropsychologist in Traverse City, Michigan and active in the NPI registry since February 2007. The organization lists Kelly K Greene, President, as its authorized official.

NPPES Registry Identity

NPI1003950536

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameKELLY K GREENE PC

Location Address921 W 11TH ST STE 1WTraverse City, MI 49684-3002

Mailing AddressPo Box 1024Cadillac, MI 49601-6024 · (231) 775-6076 · Fax (231) 775-0027

Phone(231) 929-9040

Fax(231) 929-5586

Organization SubpartNo

Authorized OfficialKelly K GreenePresident · (231) 929-9040

Enumeration DateFebruary 17, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1003950536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

921 W 11TH ST STE 1W, Traverse City, MI 49684

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly K Greene PC's NPI number?

The NPI number for Kelly K Greene PC is 1003950536. It was assigned to this organization in the NPPES registry on February 17, 2007.

Where is Kelly K Greene PC located?

Kelly K Greene PC is located at 921 W 11th St Ste 1W, Traverse City, MI 49684. The listed phone number is (231) 929-9040.

What is Kelly K Greene PC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Kelly K Greene PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.