PHYLLIS LOUISE GREEN
NPI 1790909695
Counselor - Addiction (Substance Use Disorder) in Stockton, CA

Q: What is Phyllis Green's NPI number?

The NPI number for Phyllis Green is 1790909695. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Q: What is Phyllis Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Phyllis Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 12, 2007

8026 LORRAINE AVE, SUITE 201, STOCKTON, CA 95210(209) 644-6328(209) 644-6308 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phyllis Louise Green NPPES

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

PHYLLIS LOUISE GREEN (NPI 1790909695) is an individual addiction (substance use disorder) provider in Stockton, California and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1790909695

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NamePHYLLIS LOUISE GREEN

Location Address8026 LORRAINE AVE, SUITE 201Stockton, CA 95210-4224

Mailing Address4230 Giselle LnStockton, CA 95206-6509 · (209) 513-0247

Phone(209) 644-6328

Fax(209) 644-6308

Sole ProprietorNo

Enumeration DateApril 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1790909695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

8026 LORRAINE AVE, Stockton, CA 95210

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER CHRISTINE COLLINS

Counselor (Addiction (Substance Use Disorder))

8026 LORRAINE AVE, SUITE 201
STOCKTON, CA 95210

San Joaquin County (209) 644-6328

MR. FRANK ADOLPH MOSCATO JR.

Counselor (Addiction (Substance Use Disorder))

8026 LORRAINE AVE, SUITE 201
STOCKTON, CA 95210

San Joaquin County (209) 644-6327

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 Phyllis Green's NPI number?

The NPI number for Phyllis Green is 1790909695. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Phyllis Green located?

Phyllis Green practices at 8026 Lorraine Ave Suite 201, Stockton, CA 95210. The listed phone number is (209) 644-6328.

What is Phyllis Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Phyllis Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.