DR. MARK STEPHEN GREEN PH.D., L.P.
NPI 1033589569
Psychologist in Wichita, KS

Active since September 26, 2015PECOS EnrolledAccepts Medicare Assignment
88.73/100
CMS Quality Rating
9415 E HARRY ST, SUITE 703, WICHITA, KS 67207(316) 978-6102 Get Directions Write a Review

NPPES record last updated: September 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Stephen Green Ph.d., L.p. NPPES

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

DR. MARK STEPHEN GREEN PH.D., L.P. (NPI 1033589569) is an individual psychologist in Wichita, Kansas, licensed in Kansas (2354) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1033589569
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARK STEPHEN GREENCredential: PH.D., L.P.
Location Address9415 E HARRY ST, SUITE 703Wichita, KS 67207-5089
Mailing Address1845 Fairmount St, Box 91Wichita, KS 67260-0091 · (316) 978-6102 · Fax (316) 978-3216
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 26, 2015
NPI 1033589569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in KS · 2354
Definition
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.
9415 E HARRY ST, Wichita, KS 67207

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Stephen Green Ph.d., L.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274878061
PECOS Enrollment IDI20181226000862
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.71
Promoting Interoperability100
Improvement Activities40
Cost80.74

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
9415 E HARRY ST, STE 800
WICHITA, KS 67207
Marriage & Family Therapist
9415 E HARRY ST
WICHITA, KS 67207
Dentist (General Practice)
9415 E HARRY ST, 101
WICHITA, KS 67207
Family Medicine
9415 E HARRY ST, STE 405
WICHITA, KS 67207
Clinical Nurse Specialist (Psychiatric/Mental Health)
9415 E HARRY ST, STE 800
WICHITA, KS 67207
Home Health
9415 E HARRY ST
WICHITA, KS 67207
Dentist (General Practice)
9415 E HARRY ST, SUITE 606
WICHITA, KS 67207
Community/Behavioral Health
9415 E HARRY ST, SUITE 404
WICHITA, KS 67207

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 Mark Green's NPI number?

The NPI number for Mark Green is 1033589569. It was assigned to this individual provider in the NPPES registry on September 26, 2015.

Where is Mark Green located?

Mark Green practices at 9415 E Harry St Suite 703, Wichita, KS 67207. The listed phone number is (316) 978-6102.

What is Mark Green's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mark Green enrolled in Medicare?

Yes. Mark Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Green accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Mark Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Green was last updated on September 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.