KELLY KATHLEEN GREENE PSY.D.
NPI 1508810318
Clinical Neuropsychologist in Traverse City, MI
NPI Status: Active since May 19, 2006
Contact Information
701 US HIGHWAY 31 S
TRAVERSE CITY, MI
ZIP 49685
Phone: (989) 497-2500
- Individual
- Female
- Clinical Neuropsychologist
About KELLY GREENE
This page provides the complete NPI Profile along with additional information for Kelly Greene, a provider established in Traverse City, Michigan with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1508810318 assigned on May 2006. The practitioner's primary taxonomy code is 103G00000X with license number 6301011602 (MI). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1508810318
- Provider Name
- KELLY KATHLEEN GREENE PSY.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 701 US HIGHWAY 31 S TRAVERSE CITY, MI 49685
- Location Phone
- (989) 497-2500
- Mailing Address
- 701 US HIGHWAY 31 S TRAVERSE CITY, MI 49685
- Mailing Phone
- (989) 497-2500
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-19-2006
- Last Update Date
- 02-28-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6301011602
- License State
- MI
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | 6301011602 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1508810318 | MEDICAID (05) | MI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 8 | 1 | 0 | 3 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 16 | 1 | 0 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 1 + 6 + 1 + 0 + 3 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1508810318 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
TRACEY ANN STEVENS LMSW
Social Worker
(Clinical)
701 US HIGHWAY 31 S
TRAVERSE CITY, MI
ZIP 49685
JONATHAN ZYWICKI NP
Nurse Practitioner
(Family)
701 US HIGHWAY 31 S
TRAVERSE CITY, MI
ZIP 49685
SAGINAW VAMC
Clinic/Center
(VA)
701 US HIGHWAY 31 S
TRAVERSE CITY, MI
ZIP 49685
CRISTINE ROBB LMSW
Social Worker
(Clinical)
701 US HIGHWAY 31 S
TRAVERSE CITY, MI
ZIP 49685
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508810318, enumerated as an "individual" on May 19, 2006.
The provider is located at 701 US HIGHWAY 31 S TRAVERSE CITY, MI 49685 and the phone number is (989) 497-2500.
Clinical Neuropsychologist with taxonomy code 103G00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
