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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1295136729

Tracey Louise Green, PMHNP is a Nurse Practitioner in Detroit, Michigan. Qualified in 2019, 7 years ago. Practices with Meridian Professional Psychological Consultants, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2014
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

882 Oakman Blvd Ste D
Detroit, MI 48238-4019
Phone: (313) 961-7990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 35870 Sherborne Dr, Clinton Township, MI 48035-2757 — (586) 330-0779

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704290410 (MI)

Record details

NPI number1295136729
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedSeptember 16, 2014
Last updated in NPPESOctober 20, 2021
Certification dateOctober 20, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Meridian Professional Psychological Consultants — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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