DR. FREDERICK WILLIAM GREEN III PSYD
NPI 1629451588
Psychologist in Rehoboth, MA

Active since July 09, 2015PECOS Enrolled
51 FAIRVIEW AVE, REHOBOTH, MA 02769(207) 317-0557 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2023, Jul 21, 2022, Mar 26, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Frederick William Green Iii Psyd NPPES

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

DR. FREDERICK WILLIAM GREEN III PSYD (NPI 1629451588) is an individual psychologist in Rehoboth, Massachusetts, licensed in Massachusetts (11457) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629451588
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. FREDERICK WILLIAM GREEN IIICredential: PSYD
Location Address51 FAIRVIEW AVERehoboth, MA 02769-2003
Mailing Address51 Fairview AveRehoboth, MA 02769-2003 · (207) 317-0557
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 9, 2015
Last NPPES UpdateAugust 25, 20234 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1629451588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in MA · 11457 Licensed in RI · PS01612 Licensed in WI · 3489
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.
51 FAIRVIEW AVE, Rehoboth, MA 02769

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Frederick William Green Iii Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880969294
PECOS Enrollment IDI20210414001112
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

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 Frederick Green's NPI number?

The NPI number for Frederick Green is 1629451588. It was assigned to this individual provider in the NPPES registry on July 9, 2015.

Where is Frederick Green located?

Frederick Green practices at 51 Fairview Ave, Rehoboth, MA 02769. The listed phone number is (207) 317-0557.

What is Frederick Green's specialty?

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

Is Frederick Green enrolled in Medicare?

Yes. Frederick Green is registered in the Medicare PECOS enrollment system.

What insurance does Frederick Green accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Medica list Frederick Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Frederick Green affiliated with any hospitals?

According to CMS data, Frederick Green is affiliated with Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Frederick Green was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.