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

Dr. Clinton Randall Greene, PHD

Individual provider Psychologist · NPI 1679307284

Dr. Clinton Randall Greene, PHD is a Psychiatry in Fort Myers, Florida. Graduated from Florida State University College of Medicine in 2022, 4 years ago. Practices with Lee Health System Inc, a 1,375-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Trained at
Florida State University College of Medicine
Licensed in
FL
In the registry since
2024
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

12550 New Brittany Blvd Ste 100
Fort Myers, FL 33907-3655
Phone: (239) 343-9180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY12350 (FL)

Record details

NPI number1679307284
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 27, 2024
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing addressPo Box 2147, Fort Myers, FL 33902-2147

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolFLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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