SUZANNE ELLEN GREEN (PHD) – Psychologist, NPI 1598833832

SUZANNE ELLEN GREEN (PHD) is a healthcare provider. based in Davie, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PY5213 (FL). The NPI Number for SUZANNE ELLEN GREEN (PHD) is 1598833832

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNE ELLEN GREEN (PHD)
NPI
1598833832
Phone
(954) 746-8415
Address
2921 W ABIACA CIRCLE
Enumeration Date
4 December 2006
Last Update Date
17 September 2010

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
9547468416
Graduation Year
1994 (32 years ago)
PAC ID
6507030681
Professional Enrollment ID
I20120104000185
Address ID
FL333515813SU4399XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for SUZANNE ELLEN GREEN (PHD)

  • 2921, West Abiaca Circle, Pine Island Ridge, Davie, Broward County, Florida, 33328, United States

    DAVIE, FL 33328

    Phone: (954) 746-8415

    Fax: (954) 370-5967

    Type: Mailing

  • HealthSouth Sunrise Rehabilitation Hospital, 4399, North Nob Hill Road, Sunrise, Broward County, Florida, 33351, United States

    SUNRISE, FL 333515813

    Phone: (954) 746-8415

    Fax: (954) 370-5967

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120104000185IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90791Psychiatric diagnostic evaluation136135$0
90832Psychotherapy, 30 minutes4341$0
View full utilization report →

Insurance plans in this area (ZIP 33328)

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Reviews

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Frequently asked questions

What unique ID ties claims to SUZANNE ELLEN GREEN (PHD)?
NPI 1598833832 is assigned to SUZANNE ELLEN GREEN (PHD) under the national enumeration system.
Is SUZANNE ELLEN GREEN (PHD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does SUZANNE ELLEN GREEN (PHD) treat or focus on?
Patients typically see SUZANNE ELLEN GREEN (PHD) under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
Where is SUZANNE ELLEN GREEN (PHD)'s primary listing?
We display Davie, Florida because that is what the record indicates for SUZANNE ELLEN GREEN (PHD).
How can I contact SUZANNE ELLEN GREEN (PHD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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