Randall Green, PHD CLINICAL PSYCHOL
NPI 1154498269 · Clinical Psychologist · Salem, OR
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randall Green, PHD CLINICAL PSYCHOL is a Clinical Psychologist provider in Salem, OR (NPI 1154498269).
Provider details
- NPI number
- 1154498269
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD CLINICAL PSYCHOL
- Sex
- Male
- Sole proprietor
- Yes
- License
- 585 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2008-03-06
Frequently asked questions
- What is Randall Green's NPI number?
- Randall Green's National Provider Identifier (NPI) is 1154498269, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randall Green's specialty?
- Randall Green is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Randall Green located?
- Randall Green's practice location on file with NPPES is 2250 D St Ne, Salem, OR 97301-2768.
- What is Randall Green's phone number?
- The practice phone number listed in the NPPES registry for Randall Green is (503) 364-6093.
- Does Randall Green accept Medicare?
- Randall Green is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Randall Green's NPI active?
- Yes — Randall Green's NPI (1154498269) is active in the NPPES registry as of the last update on 2008-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.