ROLAND MARCUS GREEN PHD
NPI 1649535675
Psychologist in San Jose, CA

Active since July 05, 2012PECOS Enrolled
6620 VIA DEL ORO, SAN JOSE, CA 95119(408) 360-2307 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roland Marcus Green Phd NPPES

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

ROLAND MARCUS GREEN PHD (NPI 1649535675) is an individual psychologist in San Jose, California, licensed in California (PSY 24725) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649535675
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameROLAND MARCUS GREENCredential: PHD
Location Address6620 VIA DEL OROSan Jose, CA 95119-1392
Mailing Address6620 Via Del OroSan Jose, CA 95119-1392 · (408) 360-2307
Sole ProprietorYes
Enumeration DateJuly 5, 2012
Last NPPES UpdateFebruary 11, 2022
NPI 1649535675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY 24725
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.
6620 VIA DEL ORO, San Jose, CA 95119

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Roland Marcus Green Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Student in an Organized Health Care Education/Training Program
6620 VIA DEL ORO
SAN JOSE, CA 95119
Marriage & Family Therapist
6620 VIA DEL ORO
SAN JOSE, CA 95119
Social Worker (Clinical)
6620 VIA DEL ORO
SAN JOSE, CA 95119
Psychologist
6620 VIA DEL ORO
SAN JOSE, CA 95119
Student in an Organized Health Care Education/Training Program
6620 VIA DEL ORO
SAN JOSE, CA 95119
Psychiatry & Neurology (Psychiatry)
6620 VIA DEL ORO
SAN JOSE, CA 95119
Social Worker (Clinical)
6620 VIA DEL ORO, #280
SAN JOSE, CA 95119
Marriage & Family Therapist
6620 VIA DEL ORO
SAN JOSE, CA 95119

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 Roland Green's NPI number?

The NPI number for Roland Green is 1649535675. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Where is Roland Green located?

Roland Green practices at 6620 Via Del Oro, San Jose, CA 95119. The listed phone number is (408) 360-2307.

What is Roland Green's specialty?

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

Is Roland Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Roland Green was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.