DESMOND GREEN MD – NPI #1124608690
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

DESMOND GREEN is a psychiatry & neurologist located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1124608690 to DESMOND GREEN on April 09, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

The NPI profile was last updated on Apr 14, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DESMOND GREEN below.

NPI Profile for
DESMOND GREEN

NPI Number
1124608690
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DESMOND GREEN
Credentials
MD
Primary location
3401 CIVIC CENTER BLVD
DIVISION OF PEDIATRIC PSYCHIATRY
PHILADELPHIA, PA 19104
Phone: (215) 590-7555 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Apr 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)
PA MD484342
2084P0800X
- Psychiatry & Neurology / Psychiatry
PA MD484342
208000000X
- Pediatrics
WA ML61175174

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.