RANDALL L GREEN PHD CLINICAL PSYCHOL
NPI 1154498269
Psychologist - Clinical in Salem, OR
About Randall L Green Phd Clinical Psychol NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDALL L GREEN PHD CLINICAL PSYCHOL (NPI 1154498269) is an individual clinical provider in Salem, Oregon, licensed in Oregon (585) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Randall L Green Phd Clinical Psychol 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.
Medicare Billing Reassignment
Medicare enrollment records show Randall Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salem, OR 97301
- Reassigned Medicare billing, Oregon enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Randall Green's NPI number?
The NPI number for Randall Green is 1154498269. It was assigned to this individual provider in the NPPES registry on November 30, 2006.
Where is Randall Green located?
Randall Green practices at 2250 D St NE, Salem, OR 97301. The listed phone number is (503) 364-6093.
What is Randall Green's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Randall Green enrolled in Medicare?
Yes. Randall 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.
Which organization bills Medicare for Randall Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Green reassigns Medicare benefits to Mid Valley Counseling Center Inc (Salem, OR). 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 Randall Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randall Green accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Randall 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 Randall Green was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Randall L Green, PHD CLINICAL PSYCHOL · NPI 1154498269
Clinical provider in Salem, Oregon. Individual provider, active in the CMS NPPES registry since November 30, 2006.
## Identity
- **NPI:** 1154498269 (Entity type: Individual)
- **Enumerated:** November 30, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 585 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2250 D ST NE, Salem, OR 97301-2768
- **Phone:** (503) 364-6093 · **Fax:** (503) 364-5121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mid Valley Counseling Center Inc (NPI 1407039308, Salem, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1982
## Record status
- **NPPES last updated:** March 6, 2008
- **Other identifiers:** Medicare PIN R00WCBBBA (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1154498269) · Data from the CMS NPPES public registry.