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DR. MYRNA S GREEN PH.D., CA LICENSED P
NPI 1467529776
Psychologist - Clinical in Palo Alto, CA

Active since November 29, 2006Opted out of Medicare · through Oct 1, 2027
440 SHERMAN AVENUE, SUITE 103, PALO ALTO, CA 94306(650) 328-1417(650) 424-8788 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Myrna S Green Ph.d., Ca Licensed P NPPES

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

DR. MYRNA S GREEN PH.D., CA LICENSED P (NPI 1467529776) is an individual clinical provider in Palo Alto, California, licensed in California (PSY5092) and active in the NPI registry since November 2006. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467529776
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MYRNA S GREENCredential: PH.D., CA LICENSED P
Location Address440 SHERMAN AVENUE, SUITE 103Palo Alto, CA 94306
Mailing Address440 Sherman Avenue, Suite 103Palo Alto, CA 94306 · (650) 328-1417 · Fax (650) 424-8788
Phone(650) 328-1417
Fax(650) 424-8788
Sole ProprietorYes
Enumeration DateNovember 29, 2006
Last NPPES UpdateDecember 22, 2016
✔ NPI 1467529776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY5092
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.
Also ListedPsychologistTaxonomy 103T00000X · License PSY 5092 (CA)
440 SHERMAN AVENUE, Palo Alto, CA 94306
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Myrna S Green Ph.d., Ca Licensed P has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2015 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2015
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94306 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

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 Myrna Green's NPI number?

The NPI number for Myrna Green is 1467529776. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Myrna Green located?

Myrna Green practices at 440 Sherman Avenue Suite 103, Palo Alto, CA 94306. The listed phone number is (650) 328-1417.

What is Myrna Green's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Myrna Green enrolled in Medicare?

No. Myrna Green has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Myrna Green was last updated on December 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.