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MR. MICHAEL GREEN MFT
NPI 1467589275
Marriage & Family Therapist in San Leandro, CA

Active since February 28, 2007PECOS Enrolled
545 ESTUDILLO AVE, SAN LEANDRO, CA 94577(510) 352-9200 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Michael Green Mft NPPES

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

MR. MICHAEL GREEN MFT (NPI 1467589275) is an individual marriage & family therapist in San Leandro, California, licensed in California (MFC 36428) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1467589275
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. MICHAEL GREENCredential: MFT
Location Address545 ESTUDILLO AVESan Leandro, CA 94577-4611
Mailing Address1920 Blossom CtFairfield, CA 94533-8009 · (707) 330-5488 · Fax (707) 399-0268
Phone(510) 352-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1467589275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC 36428
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
545 ESTUDILLO AVE, San Leandro, CA 94577
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Other Identifiers 1

Medicare UPIN5048CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Green Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446731905
PECOS Enrollment IDI20260223001965
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 Michael Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Open Mind Mental Health Physicians, Inc.
435 mi
Clinical
3252 HOLIDAY CT STE 204
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 16 clinicians in this Medicare group
NPI 1093454423 (855) 550-6463

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 20

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

JUSTIN SANTOS
Counselor (Mental Health)
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577
Alameda County (510) 352-9200
CINDY HILL-FORD
Marriage & Family Therapist
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577
Alameda County (510) 352-9200
PAIGE IRVINE
Social Worker (Clinical)
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577
Alameda County (510) 657-7409
FITHAWI KUDUS
Behavior Analyst
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577
Alameda County (510) 352-9200
MR. AARON LEWIS LEAVY MFT-INTERN
Marriage & Family Therapist
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577
Alameda County (510) 352-9200
AMANDA MAJAIL-BLANCO
Counselor
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577
Alameda County (650) 483-8402
MS. CHRISTINE SUZANNE FONG LMFT
Marriage & Family Therapist
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577
Alameda County (510) 352-9200
MS. ALYCIA MARIE GOMEZ M.ED.
Community Health Worker
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577
Alameda County (510) 352-9200

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 Michael Green's NPI number?

The NPI number for Michael Green is 1467589275. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Michael Green located?

Michael Green practices at 545 Estudillo Ave, San Leandro, CA 94577. The listed phone number is (510) 352-9200.

What is Michael Green's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Michael Green enrolled in Medicare?

Yes. Michael Green is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Green reassigns Medicare benefits to Open Mind Mental Health Physicians, Inc. (La Jolla, CA). 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 Michael 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 Michael Green was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.