Dr. Jessica L Green, PSYD
Student in an Organized Health Care Education/Training Program in Newington, Connecticut
1922679687- Practice location
- 555 Willard Ave, Newington, CT 06111-2631
- Phone
- 860-666-6951
- Fax
- —
- Last updated
- November 3, 2025
Jessica L Green is a Student in an Organized Health Care Education/Training Program based in Newington, CT. Jessica L Green practices in Newington, CT and has the professional credentials of PSYD. The NPI Number for Jessica L Green is 1922679687. The current practice location address for Jessica L Green is 555 Willard Ave, Newington, CT 06111-2631 and can be reached out via phone at 860-666-6951.
Provider Profile Details
- NPI Number
- 1922679687
- Provider Name
- Jessica L Green
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 555 Willard Ave, Newington, CT 06111-2631
- Phone Number
- 860-666-6951
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 5, 2021
- Last Update Date
- November 3, 2025
- Certification Date
- November 3, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 555 Willard Ave
Newington, CT 06111-2631 - City
- Newington
- State
- Connecticut
- Zip
- 06111-2631
- Phone Number
- 860-666-6951
Provider Business Mailing Address Details
- Address
- 555 Willard Ave
Newington, CT 06111-2631 - City
- Newington
- State
- CT
- Zip
- 06111-2631
- Phone Number
- 860-666-6951
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jessica L Green, PSYD?
The NPI number of Dr. Jessica L Green, PSYD is 1922679687. It was assigned on July 5, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Jessica L Green, PSYD?
Dr. Jessica L Green, PSYD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Dr. Jessica L Green, PSYD practice?
The practice location is 555 Willard Ave, Newington, CT 06111-2631. The office can be reached at 860-666-6951 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922679687 directly on the NPPES registry website.