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

Dr. Stacy Robin Green, MD

Individual provider Psychosomatic Medicine Physician · NPI 1558686162

Dr. Stacy Robin Green, MD is a Psychosomatic Medicine Physician in Boulder, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2010
Specialties on file
2
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

825 S Broadway St Ste 100
Boulder, CO 80305-5932
Phone: (303) 717-2521
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence DR.0050364 (CO)
Psychosomatic Medicine Physician Taxonomy 2084P0015X · Licence DR.0050364 (CO)

Record details

NPI number1558686162
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 7, 2010
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address825 S Broadway St Ste 100, Boulder, CO 80305-5932