DR. HEYWARD L. GREEN (PSY.D.) – Clinical Psychologist, NPI 1215997911

DR. HEYWARD L. GREEN (PSY.D.) is a healthcare provider. based in Dallas, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 23238 (TX). The NPI Number for DR. HEYWARD L. GREEN (PSY.D.) is 1215997911

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEYWARD L. GREEN (PSY.D.)
NPI
1215997911
Phone
(254) 724-2111
Address
PO BOX 844658
Enumeration Date
25 March 2006
Last Update Date
7 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2547511550
Graduation Year
1984 (42 years ago)
PAC ID
2961543640
Group Practice PAC ID
7810078920
Professional Enrollment ID
I20100113000420
Address ID
TX767126495WA8401XRDXX400

Contacts

Secure Messaging
hgreen33418@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,347 CLINICAL PSYCHOLOGIST in TX

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Provider Addresses for DR. HEYWARD L. GREEN (PSY.D.)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • 7700, Fish Pond Road, Waco, McLennan County, Texas, 76710, United States

    WACO, TX 767101031

    Phone: (254) 761-4444

    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: 2010-01-13

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
I20100113000420IClinical PsychologistTXTBD

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
90837Psychotherapy, 1 hour7811$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810078920View full group profile
NameSpecialtyState
Clinical PsychologistTX
Clinical PsychologistTX
Clinical PsychologistTX
-TX
Clinical PsychologistTX
Clinical PsychologistTX
Clinical PsychologistTN
-TX
-TX
Clinical PsychologistTX

Reviews

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Frequently asked questions

Where can patients find DR. HEYWARD L. GREEN (PSY.D.)'s NPI?
You can confirm DR. HEYWARD L. GREEN (PSY.D.) with NPI 1215997911; it appears in the national provider directory.
Is DR. HEYWARD L. GREEN (PSY.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. HEYWARD L. GREEN (PSY.D.) treat or focus on?
Patients typically see DR. HEYWARD L. GREEN (PSY.D.) under the specialty Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for DR. HEYWARD L. GREEN (PSY.D.)?
We surface Dallas, Texas for DR. HEYWARD L. GREEN (PSY.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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