Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desmond Green, MD

Individual provider Pediatrics Physician · NPI 1124608690

Desmond Green, MD is a Pediatrics Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania and Washington. Registered with an NPI since 2021.

Licensed in
PA, WA
In the registry since
2021
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3401 Civic Center Blvd Division Of Pediatric Psychiatry
Philadelphia, PA 19104
Phone: (215) 590-7555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence MD484342 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence ML61175174 (WA)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD484342 (PA)

Record details

NPI number1124608690
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2021
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

Other providers in Philadelphia