MS. JILDA S GREEN PH D
NPI 1740473792
Psychologist in Philadelphia, PA

Active since August 23, 2007PECOS EnrolledAccepts Medicare Assignment
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124(215) 831-2896(215) 831-2929 Get Directions Write a Review

NPPES record last updated: November 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jilda S Green Ph D NPPES

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

MS. JILDA S GREEN PH D (NPI 1740473792) is an individual psychologist in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS016428) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1740473792
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. JILDA S GREENCredential: PH D
Location Address4641 ROOSEVELT BLVDPhiladelphia, PA 19124-2343
Mailing Address4641 Roosevelt BlvdPhiladelphia, PA 19124-2343 · (215) 831-2896 · Fax (215) 831-2929
Fax(215) 831-2929
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 23, 2007
Last NPPES UpdateNovember 10, 2024
NPPES CertifiedNovember 10, 2024
NPI 1740473792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS016428
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.
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License PS016428 (PA)
4641 ROOSEVELT BLVD, Philadelphia, PA 19124

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

Ms. Jilda S Green 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 ID7911077656
PECOS Enrollment IDI20080606000071
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.

Social Worker
4641 ROOSEVELT BLVD, ORLEANS BUILDING
PHILADELPHIA, PA 19124
Psychiatric Hospital
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Psychiatry & Neurology (Psychiatry)
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Social Worker
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Physical Therapist (Pediatrics)
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Social Worker
4641 ROOSEVELT BLVD, ORLEANS BLDG
PHILADELPHIA, PA 19124
Registered Nurse (Psychiatric/Mental Health)
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Clinical Neuropsychologist
4641 ROOSEVELT BLVD, SUITE C229
PHILADELPHIA, PA 19124

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 Jilda Green's NPI number?

The NPI number for Jilda Green is 1740473792. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Where is Jilda Green located?

Jilda Green practices at 4641 Roosevelt Blvd, Philadelphia, PA 19124. The listed phone number is (215) 831-2896.

What is Jilda Green's specialty?

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

Is Jilda Green enrolled in Medicare?

Yes. Jilda Green 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.

When was this NPI record last updated?

The NPPES record for Jilda Green was last updated on November 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.