DR. KELLY ELIZABETH GREEN PH.D.
NPI 1467685107
Psychologist in Austin, TX

Active since August 28, 2009PECOS EnrolledAccepts Medicare Assignment
5524 BEE CAVES ROAD, SUITE G-2, AUSTIN, TX 78746(512) 585-1178 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2016, May 16, 2016 (2 updates tracked since 2016).

About Dr. Kelly Elizabeth Green Ph.d. NPPES

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

DR. KELLY ELIZABETH GREEN PH.D. (NPI 1467685107) is an individual psychologist in Austin, Texas and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1467685107
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KELLY ELIZABETH GREENCredential: PH.D.
Location Address5524 BEE CAVES ROAD, SUITE G-2Austin, TX 78746
Mailing Address5524 Bee Caves Road, Suite G-2Austin, TX 78746 · (512) 585-1178
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 28, 2009
Last NPPES UpdateSeptember 2, 20162 updates tracked since enumeration
NPI 1467685107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
5524 BEE CAVES ROAD, Austin, TX 78746

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly Elizabeth Green Ph.d. 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 ID2961782214
PECOS Enrollment IDI20161203000193
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.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
5524 BEE CAVES ROAD, SUITE G-1
AUSTIN, TX 78746

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 Kelly Green's NPI number?

The NPI number for Kelly Green is 1467685107. It was assigned to this individual provider in the NPPES registry on August 28, 2009.

Where is Kelly Green located?

Kelly Green practices at 5524 Bee Caves Road Suite G-2, Austin, TX 78746. The listed phone number is (512) 585-1178.

What is Kelly Green's specialty?

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

Is Kelly Green enrolled in Medicare?

Yes. Kelly 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.

When was this NPI record last updated?

The NPPES record for Kelly Green was last updated on September 2, 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.