DR. ROBERT A GREEN PHD
NPI 1467442236
Psychologist in Hollywood, FL

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
3363 SHERIDAN ST, STE 209, HOLLYWOOD, FL 33021(954) 961-9339(954) 966-1857 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Robert A Green Phd NPPES

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

DR. ROBERT A GREEN PHD (NPI 1467442236) is an individual psychologist in Hollywood, Florida, licensed in Florida (PY2864) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1467442236
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. ROBERT A GREENCredential: PHD
Location Address3363 SHERIDAN ST, STE 209Hollywood, FL 33021-3664
Mailing Address3363 Sheridan St, Ste 209Hollywood, FL 33021-3664 · (954) 961-9339 · Fax (954) 966-1857
Fax(954) 966-1857
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateOctober 24, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1467442236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in FL · PY2864
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3363 SHERIDAN ST, Hollywood, FL 33021

Other Identifiers 1

Other74283FL · Bcbs

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

Dr. Robert A Green Phd 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 ID7810048329
PECOS Enrollment IDI20090623000667
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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
16147 LANCASTER HWY, SUITE 110
Charlotte, NC 28277
  • Reassigned Medicare billing, Florida enrollment

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

Other Providers at the Same Location NPPES 3

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

Family Medicine
3363 SHERIDAN ST, SUITE 207
HOLLYWOOD, FL 33021
Acupuncturist
3363 SHERIDAN ST, SUITE 214
HOLLYWOOD, FL 33021
Durable Medical Equipment & Medical Supplies
3363 SHERIDAN ST, SUITE 212
HOLLYWOOD, FL 33021

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 Robert Green's NPI number?

The NPI number for Robert Green is 1467442236. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Robert Green located?

Robert Green practices at 3363 Sheridan St Ste 209, Hollywood, FL 33021. The listed phone number is (954) 961-9339.

What is Robert Green's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Robert Green enrolled in Medicare?

Yes. Robert 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 Robert Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Green reassigns Medicare benefits to Robert A Green Phd And Associates PA (Charlotte, NC). 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 Robert Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Green was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.