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KELLY KATHLEEN GREENE PSY.D.
NPI 1508810318
Clinical Neuropsychologist in Traverse City, MI

Active since May 19, 2006
701 US HIGHWAY 31 S, TRAVERSE CITY, MI 49685(989) 497-2500 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 28, 2020, Dec 6, 2017 (2 updates tracked since 2017).

About Kelly Kathleen Greene Psy.d. NPPES

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

KELLY KATHLEEN GREENE PSY.D. (NPI 1508810318) is an individual clinical neuropsychologist in Traverse City, Michigan, licensed in Michigan (6301011602) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1508810318
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameKELLY KATHLEEN GREENECredential: PSY.D.
Location Address701 US HIGHWAY 31 STraverse City, MI 49685-8016
Mailing Address701 Us Highway 31 STraverse City, MI 49685-8016 · (989) 497-2500
Phone(989) 497-2500
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 28, 20202 updates tracked since enumeration
✔ NPI 1508810318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in MI · 6301011602
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologistTaxonomy 103T00000X · License 6301011602 (MI)
701 US HIGHWAY 31 S, Traverse City, MI 49685
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Other Identifiers 1

Medicaid1508810318MI

Other Providers at the Same Location NPPES 8

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

ERIKA NICOLE SHENEMAN RRT
Respiratory Therapist, Registered
701 US HIGHWAY 31 S
TRAVERSE CITY, MI 49685
Grand Traverse County (231) 932-9720
DR. SARAH DANIELLE MILLER DPM
Podiatrist (Foot & Ankle Surgery)
701 US HIGHWAY 31 S
TRAVERSE CITY, MI 49685
Grand Traverse County (989) 497-2500
DR. KRISTEN LAND DPT
Physical Therapist
701 US HIGHWAY 31 S
TRAVERSE CITY, MI 49685
Grand Traverse County (231) 932-9720
JONATHAN ZYWICKI NP
Nurse Practitioner (Family)
701 US HIGHWAY 31 S
TRAVERSE CITY, MI 49685
Grand Traverse County (231) 932-9570
TRACEY ANN STEVENS LMSW
Social Worker
701 US HIGHWAY 31 S
TRAVERSE CITY, MI 49685
Grand Traverse County (989) 497-2500
MR. SHAWN MICHAEL BLACK M.S., P.T.
Physical Therapist
701 US HIGHWAY 31 S
TRAVERSE CITY, MI 49685
Grand Traverse County (800) 406-5143
CRISTINE ROBB LMSW
Social Worker (Clinical)
701 US HIGHWAY 31 S
TRAVERSE CITY, MI 49685
Grand Traverse County (231) 932-9720
SAGINAW VAMC
Clinic/Center (VA)
701 US HIGHWAY 31 S
TRAVERSE CITY, MI 49685
Grand Traverse County (608) 821-7200

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 Greene's NPI number?

The NPI number for Kelly Greene is 1508810318. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Kelly Greene located?

Kelly Greene practices at 701 Us Highway 31 S, Traverse City, MI 49685. The listed phone number is (989) 497-2500.

What is Kelly Greene's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Kelly Greene was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.