SHOSHANA MICHELLE GREEN M.A.
NPI 1669615001
Marriage & Family Therapist in Oakland, CA

Q: What is Shoshana Green's NPI number?

The NPI number for Shoshana Green is 1669615001. It was assigned to this individual provider in the NPPES registry on April 15, 2009.

Q: What is Shoshana Green's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Shoshana Green enrolled in Medicare?

No. Shoshana Green has opted out of Medicare through May 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Shoshana Green was last updated on August 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 April 15, 2009Opted out of Medicare · through May 15, 2028

3800 COOLIDGE AVE, OAKLAND, CA 94602(510) 773-9509 Get Directions Write a Review

NPPES record last updated: August 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shoshana Michelle Green M.a. NPPES

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

SHOSHANA MICHELLE GREEN M.A. (NPI 1669615001) is an individual marriage & family therapist in Oakland, California, licensed in California (81039) and active in the NPI registry since April 2009. She has opted out of Medicare through May 15, 2028 and is a graduate of Other (2009).

NPPES Registry Identity

NPI1669615001

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSHOSHANA MICHELLE GREENCredential: M.A.

Location Address3800 COOLIDGE AVEOakland, CA 94602-3311

Mailing Address3800 Coolidge AveOakland, CA 94602-3311 · (510) 773-9509

Phone(510) 773-9509

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 15, 2009

Last NPPES UpdateAugust 1, 2014

✔ NPI 1669615001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 81039

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.

3800 COOLIDGE AVE, Oakland, CA 94602

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shoshana Michelle Green M.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 15, 2026 through May 15, 2028.

Opt-Out Effective DateMay 15, 2026

Opt-Out In Effect ThroughMay 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MARY ELLEN ROJAS

Marriage & Family Therapist