LESLIE W. GREEN, PHD, P.C.
NPI 1174266373
Clinic/Center - Mental Health (Including Community Mental Health Center) in Troy, MI

Q: What is Leslie W. Green, Phd, P.C.'s NPI number?

The NPI number for Leslie W. Green, Phd, P.C. is 1174266373. It was assigned to this organization in the NPPES registry on April 15, 2022.

Q: What is Leslie W. Green, Phd, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since April 15, 2022

1740 W BIG BEAVER RD STE 206, TROY, MI 48084(248) 593-0678 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Leslie W. Green, Phd, P.c. NPPES

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

LESLIE W. GREEN, PHD, P.C. (NPI 1174266373) is a healthcare organization registered as a mental health (including community mental health center) in Troy, Michigan and active in the NPI registry since April 2022. The organization lists Leslie W Green, President, as its authorized official.

NPPES Registry Identity

NPI1174266373

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameLESLIE W. GREEN, PHD, P.C.

Location Address1740 W BIG BEAVER RD STE 206Troy, MI 48084-3507

Mailing AddressPo Box 1563Troy, MI 48099-1563 · (248) 765-8366

Phone(248) 593-0678

Organization SubpartNo

Authorized OfficialLeslie W GreenPresident · (248) 765-8366

Enumeration DateApril 15, 2022

NPPES CertifiedApril 15, 2022

✔ NPI 1174266373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

1740 W BIG BEAVER RD STE 206, Troy, MI 48084

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leslie W. Green, Phd, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Leslie W. Green, Phd, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Leslie Green, PH.D.

Clinical Psychologist

NPI 1073646774

755 W BIG BEAVER RD SUITE 414
Troy, MI 48084

(248) 593-0678

✔ PECOS✔ Accepts Medicare0.6 mi

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

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 Leslie W. Green, Phd, P.C.'s NPI number?

The NPI number for Leslie W. Green, Phd, P.C. is 1174266373. It was assigned to this organization in the NPPES registry on April 15, 2022.

Where is Leslie W. Green, Phd, P.C. located?

Leslie W. Green, Phd, P.C. is located at 1740 W Big Beaver Rd Ste 206, Troy, MI 48084. The listed phone number is (248) 593-0678.

What is Leslie W. Green, Phd, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Leslie W. Green, Phd, P.C. enrolled in Medicare?

Yes. Leslie W. Green, Phd, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leslie W. Green, Phd, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Leslie W. Green, Phd, P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Leslie W. Green, Phd, P.C. was last updated on April 15, 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.