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

Q: 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.

Q: What is Michael Green's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Green was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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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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Medicare Participation & PECOS CMS

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

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.