BRANDON MICHAEL GREEN
NPI 1548879422
Marriage & Family Therapist in Santa Ana, CA

Q: What is Brandon Green's NPI number?

The NPI number for Brandon Green is 1548879422. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Q: What is Brandon 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 Brandon Green was last updated on August 3, 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.

Active since July 27, 2020PECOS EnrolledAccepts Medicare Assignment

525 CABRILLO PARK DR STE 300, SANTA ANA, CA 92701(714) 953-4455 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2020, Jul 27, 2020 (2 updates tracked since 2020).

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About Brandon Michael Green NPPES

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

BRANDON MICHAEL GREEN (NPI 1548879422) is an individual marriage & family therapist in Santa Ana, California and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1548879422

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameBRANDON MICHAEL GREEN

Location Address525 CABRILLO PARK DR STE 300Santa Ana, CA 92701-5017

Mailing Address308 Avenida Granada Apt ASan Clemente, CA 92672-5291

Phone(714) 953-4455

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 27, 2020

Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration

NPPES CertifiedAugust 3, 2020

✔ NPI 1548879422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

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.

525 CABRILLO PARK DR STE 300, Santa Ana, CA 92701

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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 and accepts Medicare assignment

Brandon Michael Green 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 ID4284132051

PECOS Enrollment IDI20250811002609

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 20

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

JONATHAN MORIN LCSW

Counselor (Mental Health)