DR. KIMBERLEY A GREEN PH.D., HSPP
NPI 1821084476
Psychologist - Health Service in Saint Louis, MO

Q: What is Kimberley Green's NPI number?

The NPI number for Kimberley Green is 1821084476. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Q: What is Kimberley Green's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Q: When was this NPI record last updated?

The NPPES record for Kimberley Green was last updated on November 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 September 20, 2005

1 UNIVERSITY BLVD, COMMUNITY PSYCHOLOGICAL SERVICE, 232 STADLER HALL, SAINT LOUIS, MO 63121(314) 516-5824(314) 516-5347 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kimberley A Green Ph.d., Hspp NPPES

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

DR. KIMBERLEY A GREEN PH.D., HSPP (NPI 1821084476) is an individual health service provider in Saint Louis, Missouri, licensed in Indiana (20040602) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1821084476

Entity TypeIndividualFemale

Primary Taxonomy103TH0100X

Provider Legal NameDR. KIMBERLEY A GREENCredential: PH.D., HSPP

Location Address1 UNIVERSITY BLVD, COMMUNITY PSYCHOLOGICAL SERVICE, 232 STADLER HALLSaint Louis, MO 63121-4400

Mailing Address1 University Blvd, Community Psychological ServiceSaint Louis, MO 63121-4400 · (314) 516-5824 · Fax (314) 516-5347

Phone(314) 516-5824

Fax(314) 516-5347

Sole ProprietorNo

Enumeration DateSeptember 20, 2005

Last NPPES UpdateNovember 26, 2012

✔ NPI 1821084476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

License✔ Licensed in IN · 20040602

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

Also ListedPsychologistTaxonomy 103T00000X · License 20040602 (IN)

1 UNIVERSITY BLVD, Saint Louis, MO 63121

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Other Identifiers 6

Medicare PIN236340B

Other06010200Magellan Health Services

Medicaid100167180AIN

Other084081Siho - Southeastern Indiana Health Organization

Other7453298Aetna

Other000000533237Anthem Bc/bs

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.

JERRY DUNN PH.D

Psychologist (Clinical)

1 UNIVERSITY BLVD
SAINT LOUIS, MO 63121

St. Louis County (314) 516-7342

DR. DEANA L JEFFERSON PH.D.

Psychologist (Clinical)

1 UNIVERSITY BLVD, 232 STADLER HALL, UNIVERSITY OF MISSOURI - ST. LOUIS
SAINT LOUIS, MO 63121

St. Louis County (314) 516-5825

STACY GOLMAN PSY.D.

Psychologist (Clinical)

1 UNIVERSITY BLVD, UNIVERSITY OF MISSOURI - ST. LOUIS
SAINT LOUIS, MO 63121

St. Louis County (314) 516-5824

UNIVERSITY OF MISSOURI ST. LOUIS

Nurse Practitioner (Family)

1 UNIVERSITY BLVD, MILLENIUM STUDENT CENTER 131
SAINT LOUIS, MO 63121

St. Louis County (314) 516-5671

DR. ROBERT HARRIS PAUL PH.D.

Clinical Neuropsychologist

1 UNIVERSITY BLVD, STADLER 412
SAINT LOUIS, MO 63121

St. Louis County (314) 516-5398

DOROTHY ROSE DENNY HASKELL MSW, LCSW

Social Worker (Clinical)

1 UNIVERSITY BLVD, KATHY J. WEINMAN BUILDING
SAINT LOUIS, MO 63121

St. Louis County (314) 516-7341

PROF. KAMILA SHEREE WHITE BRUCE PHD

Psychologist (Clinical)

1 UNIVERSITY BLVD, STADLER HALL
SAINT LOUIS, MO 63121

St. Louis County (314) 516-7122

PROFESSIONAL ATHLETIC REHABILITATION, LLC

Specialist/Technologist (Athletic Trainer)

1 UNIVERSITY BLVD, 225 MARK TWAIN BUILDING
SAINT LOUIS, MO 63121

St. Louis County (314) 598-1663

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 Kimberley Green's NPI number?

The NPI number for Kimberley Green is 1821084476. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Kimberley Green located?

Kimberley Green practices at 1 University Blvd Community Psychological Service, 232 Stadler Hall, Saint Louis, MO 63121. The listed phone number is (314) 516-5824.

What is Kimberley Green's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Kimberley Green was last updated on November 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.