MEDICARE: ROLAND MARCUS GREEN PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY 24725	CA

General Provider Information

NPI Number	:	1649535675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROLAND MARCUS GREEN PHD

Provider Business Mailing Address
First Line	:	6620 VIA DEL ORO
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1392
Country	:	US
Telephone Number	:	408-360-2307
Fax Number	:

Provider Business Practice Location Address
First Line	:	6620 VIA DEL ORO
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1392
Country	:	US
Telephone Number	:	408-360-2307
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2012
Last Update Date	:	02/11/2022

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1487714390 — YU-WAI CHIU PH.D.
Practice Location Address:

6620 VIA DEL ORO
SAN JOSE, CA
95119-1392

Practice Phone: 408-360-2356
Practice Fax: 408-360-2396

1285782672 — LISA ARIETA HAYES LCSW
Practice Location Address:

6620 VIA DEL ORO , #280
SAN JOSE, CA
95119-1392

Practice Phone: 408-287-6200
Practice Fax: 408-998-1535

1740445451 — CARI YARDLEY PSYD
Practice Location Address:

6620 VIA DEL ORO
SAN JOSE, CA
95119-1392

Practice Phone: 408-360-2361
Practice Fax:

1821244229 — DR. MELANIE VICTORIA HSU PH.D.
Practice Location Address:

6620 VIA DEL ORO
SAN JOSE, CA
95119-1392

Practice Phone: 408-360-2350
Practice Fax:

1962790451 — MARION JOYCE JOHNSON
Practice Location Address:

6620 VIA DEL ORO
SAN JOSE, CA
95119-1392

Practice Phone: 408-360-2300
Practice Fax:

Directions to “ ROLAND MARCUS GREEN PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.