JEFF GREEN MD PC
NPI 1073984019
Psychiatry & Neurology - Child & Adolescent Psychiatry in Bozeman, MT

NPI Status: Active since October 16, 2015

Contact Information

1871 S 22ND AVE STE 3
BOZEMAN, MT
ZIP 59718
Phone: (406) 582-9306
Fax: (406) 205-1459

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  • Organization
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry

About JEFF GREEN MD PC

Jeff Green Md Pc is a provider established in Bozeman, Montana operating as a Psychiatry & Neurology with a focus in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1073984019 assigned on October 2015. The practitioner's primary taxonomy code is 2084P0804X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jeff Green Md (Owner)

NPI
1073984019
Provider Name
JEFF GREEN MD PC
Entity Type
Organization
Location Address
1871 S 22ND AVE STE 3 BOZEMAN, MT 59718
Location Phone
(406) 582-9306
Location Fax
(406) 205-1459
Mailing Address
1871 S 22ND AVE STE 3 BOZEMAN, MT 59718
Mailing Phone
(406) 582-9306
Mailing Fax
(406) 205-1459
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
10-16-2015
Last Update Date
09-10-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JEFF GREEN MD

Authorized Official Title
OWNER
Authorized Official Phone
(406) 582-9306

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073984019
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143188802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 8 + 8 + 8 + 0 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1073984019 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083775035DR. THOMAS JAMES HERIZA MD
Individual
Psychiatry & Neurology (Psychiatry)1871 S 22ND AVE STE 3
BOZEMAN, MT 59718
(406) 585-3584
1386981678 REBECCA J POGODA APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)1871 S 22ND AVE STE 3
BOZEMAN, MT 59718
(406) 404-6769
1770522831 JEFFREY SCOTT GREEN MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)1871 S 22ND AVE STE 3
BOZEMAN, MT 59718
(406) 582-9306
1245284363MRS. SUSANNA TURNER DARR APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)1871 S 22ND AVE STE 3
BOZEMAN, MT 59718
(406) 404-6814
1912542861 BENJAMIN BYRON EGBERS DNP, APRN, PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1871 S 22ND AVE STE 3
BOZEMAN, MT 59718
(406) 506-5762

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073984019, enumerated in the NPI registry as an "organization" on October 16, 2015

The provider is located at 1871 S 22nd Ave Ste 3 Bozeman, Mt 59718 and the phone number is (406) 582-9306

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0804X with a focus in Child & Adolescent Psychiatry

This NPI record was last updated on October 16, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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