DR. DAVID MICHAEL GREEN PH.D
NPI 1457417685
Psychologist - Forensic in San Diego, CA

NPI Status: Active since December 30, 2006

Contact Information

3549 CAMINO DEL RIO S
SUITE D
SAN DIEGO, CA
ZIP 92108
Phone: (619) 281-0616
Fax: (619) 528-1263

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  • Individual
  • Male
  • Psychologist
  • Forensic
  • Accepts Insurance

About DAVID GREEN

This page provides the complete NPI Profile along with additional information for David Green, a provider established in San Diego, California with a medical specialization in Psychologist, focusing in forensic . The healthcare provider is registered in the NPI registry with number 1457417685 assigned on December 2006. The practitioner's primary taxonomy code is 103TF0200X with license number PSY4696 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1457417685
Provider Name
DR. DAVID MICHAEL GREEN PH.D
Gender
Male
Entity Type
Individual
Location Address
3549 CAMINO DEL RIO S SUITE D SAN DIEGO, CA 92108
Location Phone
(619) 281-0616
Location Fax
(619) 528-1263
Mailing Address
5333 MISSION CENTER RD SUITE 354 SAN DIEGO, CA 92108
Mailing Phone
(619) 281-0616
Mailing Fax
(619) 528-1263
Is Sole Proprietor?
No
Enumeration Date
12-30-2006
Last Update Date
09-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Forensic

Taxonomy Code
103TF0200X
Type
Behavioral Health & Social Service Providers
License No.
PSY4696
License State
CA
Taxonomy Description
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

PSY4696 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
YYY49122YMEDICAID (05)CA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457417685, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 8 + 1 + 1 + 4 + 6 + 1 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1457417685.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant (Medical)
3549 CAMINO DEL RIO S, SUITE A
SAN DIEGO, CA 92108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457417685, enumerated as an "individual" on December 30, 2006.

The provider is located at 3549 CAMINO DEL RIO S SUITE D SAN DIEGO, CA 92108 and the phone number is (619) 281-0616.

Psychologist with taxonomy code 103TF0200X and a focus in Forensic.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.