Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Stephen Green, PHD, LP

Individual provider Psychologist · NPI 1033589569

Dr. Mark Stephen Green, PHD, LP is a Clinical Psychologist in Wichita, Kansas. Qualified in 2014, 12 years ago. Practices with Pratt Regional Medical Center Corporation, a 36-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
12
Licensed in
KS
In the registry since
2015
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

9415 E Harry St Ste 703
Wichita, KS 67207-5089
Phone: (316) 978-6102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2354 (KS)

Record details

NPI number1033589569
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LP
Sole proprietorYes
NPI enumeratedSeptember 26, 2015
Last updated in NPPESSeptember 26, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Pratt Regional Medical Center Corporation — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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