RANDALL L GREEN PHD CLINICAL PSYCHOL
NPI 1154498269
Psychologist - Clinical in Salem, OR

Active since November 30, 2006PECOS EnrolledAccepts Medicare Assignment
2250 D ST NE, SALEM, OR 97301(503) 364-6093(503) 364-5121 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1154498269
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameRANDALL L GREENCredential: PHD CLINICAL PSYCHOL
Location Address2250 D ST NESalem, OR 97301-2768
Mailing Address2250 D St NeSalem, OR 97301-2768 · (503) 364-6093 · Fax (503) 364-5121
Fax(503) 364-5121
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateNovember 30, 2006
Last NPPES UpdateMarch 6, 2008
NPI 1154498269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in OR · 585
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2250 D ST NE, Salem, OR 97301

Other Identifiers 1

Medicare PINR00WCBBBAOR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3173786068
PECOS Enrollment IDI20120511000108
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.

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.

New Patient
$166.64 typical visit price
range $54.96 – $166.64
Typical copayment $41.66 (range $13.74 – $41.66)
Most-billed visit code 99205
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

Psychologist (Clinical)
2250 D ST NE
SALEM, OR 97301
Nurse Practitioner (Psychiatric/Mental Health)
2250 D ST NE
SALEM, OR 97301
Psychologist
2250 D ST NE
SALEM, OR 97301
Psychologist (Clinical)
2250 D ST NE
SALEM, OR 97301
Nurse Practitioner (Psychiatric/Mental Health)
2250 D ST NE
SALEM, OR 97301
Psychologist (Clinical)
2250 D ST NE
SALEM, OR 97301
Psychologist (Clinical)
2250 D ST NE
SALEM, OR 97301
Psychologist (Clinical)
2250 D ST NE
SALEM, OR 97301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154498269, enumerated as an "individual" on November 30, 2006.

The provider is located at 2250 D ST NE SALEM, OR 97301 and the phone number is (503) 364-6093.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.