DR. KELLY GREEN PH.D.
NPI 1093295263
Psychologist in Philadelphia, PA

Active since August 17, 2018
3535 MARKET ST STE 3037, PHILADELPHIA, PA 19104(215) 746-7337 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly Green Ph.d. NPPES

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

DR. KELLY GREEN PH.D. (NPI 1093295263) is an individual psychologist in Philadelphia, Pennsylvania and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1093295263
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KELLY GREENCredential: PH.D.
Location Address3535 MARKET ST STE 3037Philadelphia, PA 19104-3313
Mailing Address712 S Clifton StPhiladelphia, PA 19147-1978 · (832) 434-1719
Sole ProprietorYes
Enumeration DateAugust 17, 2018
NPI 1093295263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
3535 MARKET ST STE 3037, Philadelphia, PA 19104

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 Green's NPI number?

The NPI number for Kelly Green is 1093295263. It was assigned to this individual provider in the NPPES registry on August 17, 2018.

Where is Kelly Green located?

Kelly Green practices at 3535 Market St Ste 3037, Philadelphia, PA 19104. The listed phone number is (215) 746-7337.

What is Kelly Green's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Green was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.