1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Psychiatry Neurology
  6. NPI Profile

DESMOND GREEN MD
NPI 1124608690
Psychiatry & Neurology - Child & Adolescent Psychiatry in Philadelphia, PA

Active since April 09, 2021
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC PSYCHIATRY, PHILADELPHIA, PA 19104(215) 590-7555 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Apr 9, 2021 (2 updates tracked since 2021).

About Desmond Green Md NPPES

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

DESMOND GREEN MD (NPI 1124608690) is an individual child & adolescent psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD484342) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1124608690
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDESMOND GREENCredential: MD
Location Address3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC PSYCHIATRYPhiladelphia, PA 19104
Mailing Address3401 Civic Center Blvd, Division Of Pediatric PsychiatryPhiladelphia, PA 19104 · (215) 590-7555
Phone(215) 590-7555
Sole ProprietorNo
Enumeration DateApril 9, 2021
Last NPPES UpdateApril 14, 20252 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1124608690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in PA · MD484342
Definition
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.
Also ListedPediatricsTaxonomy 208000000X · License ML61175174 (WA)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD484342 (PA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
Open in Google Maps ↗

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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Desmond Green's NPI number?

The NPI number for Desmond Green is 1124608690. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Desmond Green located?

Desmond Green practices at 3401 Civic Center Blvd Division Of Pediatric Psychiatry, Philadelphia, PA 19104. The listed phone number is (215) 590-7555.

What is Desmond Green's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Desmond Green was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.