DAVID L. GREEN PH.D.
NPI 1518041771
Psychologist - Clinical in Fairfield, CA

Q: What is David Green's NPI number?

The NPI number for David Green is 1518041771. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is David Green's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for David Green was last updated on July 8, 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.

Active since October 24, 2006

1101 B GALE WILSON BLVD STE 307, FAIRFIELD, CA 94533(707) 428-3435(707) 428-3770 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About David L. Green Ph.d. NPPES

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

DAVID L. GREEN PH.D. (NPI 1518041771) is an individual clinical provider in Fairfield, California, licensed in California (PSY 9264) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1518041771

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDAVID L. GREENCredential: PH.D.

Location Address1101 B GALE WILSON BLVD STE 307Fairfield, CA 94533-3702

Mailing Address2685 Leslie RdSanta Rosa, CA 95404-9607 · (707) 575-5355 · Fax (707) 575-1491

Phone(707) 428-3435

Fax(707) 428-3770

Sole ProprietorYes

Enumeration DateOctober 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1518041771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY 9264

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1101 B GALE WILSON BLVD STE 307, Fairfield, CA 94533

Open in Google Maps ↗

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 David Green's NPI number?

The NPI number for David Green is 1518041771. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is David Green located?

David Green practices at 1101 B Gale Wilson Blvd Ste 307, Fairfield, CA 94533. The listed phone number is (707) 428-3435.

What is David Green's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for David Green was last updated on July 8, 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.