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DR. CHLOE T GREEN PH.D.
NPI 1114484789
Clinical Neuropsychologist in San Diego, CA

Active since March 01, 2019PECOS Enrolled
8996 MIRAMAR RD, SAN DIEGO, CA 92126(760) 990-7001 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 18, 2022, Mar 1, 2019 (2 updates tracked since 2019).

About Dr. Chloe T Green Ph.d. NPPES

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

DR. CHLOE T GREEN PH.D. (NPI 1114484789) is an individual clinical neuropsychologist in San Diego, California, licensed in California (PSY30745) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114484789
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. CHLOE T GREENCredential: PH.D.
Location Address8996 MIRAMAR RDSan Diego, CA 92126-4451
Mailing Address8996 Miramar RdSan Diego, CA 92126-4451 · (760) 990-7001
Phone(760) 990-7001
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 1, 2019
Last NPPES UpdateOctober 18, 20222 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1114484789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · PSY30745
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.
Also ListedPsychologistTaxonomy 103T00000X · License PSY30745 (CA)
8996 MIRAMAR RD, San Diego, CA 92126
Open in Google Maps ↗

Other Identifiers 1

Medicaid1194161406CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Chloe T Green Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698263176
PECOS Enrollment IDI20251024003756
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 Billing Reassignment

Medicare enrollment records show Chloe Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrated Pain Management Medical Group, Inc.
443 mi
Pain Medicine
450 N WIGET LN
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 137 clinicians in this Medicare group
NPI 1922198779 (925) 691-9806

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

ALISON M HRANEK
Assistant Behavior Analyst
8996 MIRAMAR RD
SAN DIEGO, CA 92126
San Diego County (760) 224-8208
CHLOE ANNE KERSTEIN
Physical Therapist
8996 MIRAMAR RD
SAN DIEGO, CA 92126
San Diego County (760) 688-0601

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 Chloe Green's NPI number?

The NPI number for Chloe Green is 1114484789. It was assigned to this individual provider in the NPPES registry on March 1, 2019.

Where is Chloe Green located?

Chloe Green practices at 8996 Miramar Rd, San Diego, CA 92126. The listed phone number is (760) 990-7001.

What is Chloe Green's specialty?

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

Is Chloe Green enrolled in Medicare?

Yes. Chloe Green is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chloe Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chloe Green reassigns Medicare benefits to Integrated Pain Management Medical Group, Inc. (Walnut Creek, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chloe Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chloe Green was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.