Dr. Dawn Rene Green, PhD
Psychologist, Clinical in San Antonio, TX. Individual provider (NPI-1).
NPI number1164062261
StatusActive
Last updated in NPPESJan 7, 2020
Details
- NPI
- 1164062261
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dawn Rene Green
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 7, 2020
- Certification date
- Jan 7, 2020
- Last updated
- Jan 7, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 38264 | TX | Yes |
Practice location
7272 Wurzbach Rd Ste 601San Antonio, TX 78240-4803
Phone 210-615-3483
Mailing address
201 County Road 411Nacogdoches, TX 75961-7629
Phone 936-645-5120
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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