DR. CLINTON RANDALL GREENE PH.D.
NPI 1679307284
Psychologist in Fort Myers, FL

Active since August 27, 2024PECOS EnrolledAccepts Medicare Assignment
12550 NEW BRITTANY BLVD STE 100, FORT MYERS, FL 33907(239) 343-9180 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Clinton Randall Greene Ph.d. NPPES

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

DR. CLINTON RANDALL GREENE PH.D. (NPI 1679307284) is an individual psychologist in Fort Myers, Florida, licensed in Florida (PY12350) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Florida State University College Of Medicine (2022).

NPPES Registry Identity

NPI1679307284
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CLINTON RANDALL GREENECredential: PH.D.
Location Address12550 NEW BRITTANY BLVD STE 100Fort Myers, FL 33907-3655
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9180 · Fax (239) 343-9188
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2022
Enumeration DateAugust 27, 2024
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1679307284 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 FL · PY12350
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.
12550 NEW BRITTANY BLVD STE 100, Fort Myers, FL 33907

Other Identifiers 1

Medicaid128045200FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Clinton Randall Greene Ph.d. 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 ID2264973650
PECOS Enrollment IDI20240925003684
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Clinton Greene reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
Internal Medicine
555 NORTH BYRON BUTLER PARKWAY, TMH PHYSICIAN PARTNERS, PERRY
Perry, FL 32348
  • Reassigned Medicare billing, Florida enrollment
  • 654 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Counselor (Mental Health)
12550 NEW BRITTANY BLVD STE 100
FORT MYERS, FL 33907
Psychiatry & Neurology (Psychiatry)
12550 NEW BRITTANY BLVD STE 100
FORT MYERS, FL 33907
Social Worker (Clinical)
12550 NEW BRITTANY BLVD STE 100
FORT MYERS, FL 33907
Counselor (Mental Health)
12550 NEW BRITTANY BLVD STE 100
FORT MYERS, FL 33907
Psychiatry & Neurology (Child & Adolescent Psychiatry)
12550 NEW BRITTANY BLVD STE 100
FORT MYERS, FL 33907
Psychiatry & Neurology (Psychiatry)
12550 NEW BRITTANY BLVD STE 100
FORT MYERS, FL 33907
Nurse Practitioner (Psychiatric/Mental Health)
12550 NEW BRITTANY BLVD STE 100
FORT MYERS, FL 33907
Psychiatry & Neurology (Psychiatry)
12550 NEW BRITTANY BLVD STE 100
FORT MYERS, FL 33907

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 Clinton Greene's NPI number?

The NPI number for Clinton Greene is 1679307284. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Clinton Greene located?

Clinton Greene practices at 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907. The listed phone number is (239) 343-9180.

What is Clinton Greene's specialty?

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

Is Clinton Greene enrolled in Medicare?

Yes. Clinton Greene is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Clinton Greene's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clinton Greene reassigns Medicare benefits to 2 organizations: Lee Health System Inc (Fort Myers, FL) and Tallahassee Memorial Healthcare Inc (Perry, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clinton Greene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clinton Greene accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Clinton Greene 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.

When was this NPI record last updated?

The NPPES record for Clinton Greene was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.