EVERGREEN BEHAVIORAL SERVICES (NPI# 1124101464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124101464 |
| Entity Type | Organization |
| Organization Name | EVERGREEN BEHAVIORAL SERVICES |
| Practice Address |
131 Franklin Health Commons Suite A Mt Blue Health Center Farmington ME 04938 |
| Mailing Address |
131 Franklin Health Commons Suite A Farmington ME 04938 |
| Practice Telephone | 2077780035 |
| Practice Fax Number | 2077786879 |
| Mailing Telephone | 2077780035 |
| Mailing Fax Number | 2077786879 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-05-03 |
| Authorized Official Name | MRS. JULIE WELCH (OFFICE MANAGER) |
| Authorized Official Telephone | 2077780035 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRANKLIN MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
221361 | ME | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
227282 | ME | Ambulatory Health Care Facilities |
| Street Address |
131 FRANKLIN HEALTH COMMONS SUITE A MT BLUE HEALTH CENTER |
| City | FARMINGTON |
| State | ME |
| Zip Code | 04938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255523080 | Sheila Hoyt | Social Worker | 131 Franklin Health Commons, Suite A, Farmington, ME 04938 | 2007-08-15 |
| 1770655144 | Kathleen M Danforth | Counselor | 131 Franklin Health Commons, Suite A Mt Blue Health Center, Farmington, ME 04938 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704964 | Cary Rae Millbury | Social Worker | 16 Middle Street, Farmington, ME 04938 | 2020-09-15 |
| 1538615224 | Woodlands Senior Living of Farmington, LLC | Alzheimer Center (Dementia Center) | 175 Knowlton Corner Rd., Farmington, ME 04938 | 2016-09-01 |
| 1740617158 | Jason Pratt | Pharmacist | 624 Wilton Road, Farmington, ME 04938 | 2013-09-30 |
| 1194050195 | New Communities, Inc. | Assisted Living Facility | 136 Rosewood Drive, Farmington, ME 04938 | 2009-10-08 |
| 1477787364 | Jennifer Zeliger | Obstetrics & Gynecology | Franklin Health Women's Care, 181 Franklin Health Commons, Farmington, ME 04938 | 2009-05-07 |
| 1649412602 | Work First, Inc. | Day Training, Developmentally Disabled Services | 309 Wilton Road, 309 Wilton Road, Farmington, ME 04938 | 2009-04-06 |
| 1598943110 | Peter W Swallow | Dentist | 107 Box Shop Hill, Farmington, ME 04938 | 2008-02-06 |
| 1477620706 | Scott D Christie | Psychologist | 176 Livermore Falls Road, Farmington, ME 04938 | 2006-11-30 |
| 1104900836 | Angela M Thompson | Social Worker | 144 High Street, Ste 1, Farmington, ME 04938 | 2006-10-25 |
| 1326140401 | Timothy E Saulter | Chiropractor | 116 Narrow Gauge Sq, Ste 102, Farmington, ME 04938 | 2006-09-01 |
| Find all providers in zip 04938 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710532619 | Solstone, LLC | Clinic/Center | 1353 N 1075 W Ste 204, Farmington, UT 84025-2772 | 2019-08-07 |
| 1063982866 | Charis Counseling Pllc | Clinic/Center | 128 Southwinds Rd Ste 5&6, Farmington, AR 72730-8678 | 2018-12-05 |
| 1114434412 | Mackay Counseling | Clinic/Center | 582 Rigby Rd, Farmington, UT 84025-4404 | 2018-01-08 |
| 1124153366 | Lds Family Services | Clinic/Center | 925 Cannery Ct Ste A, Farmington, NM 87401-4058 | 2007-02-21 |
| 1821635129 | Mindful Transformations LLC | Clinic/Center | 304 Main St, Farmington, CT 06032-2985 | 2019-12-05 |
| 1427610187 | Guiding Solutions Therapy, LLC | Clinic/Center | 128 Southwinds Rd Ste 5, Farmington, AR 72730-8678 | 2019-07-02 |
| 1164940599 | Jean Manz Coaching, LLC | Clinic/Center | 3510 Messina Dr, Farmington, NM 87402-4782 | 2017-09-06 |
| 1588103881 | Dr. Faith Prelli, LLC | Clinic/Center | 304 Main St, Suite 204, Farmington, CT 06032-2985 | 2017-02-20 |
| 1881043487 | South Davis Psychological Services | Clinic/Center | 240 N East Promontory Ste 200, Farmington, UT 84025-2950 | 2016-06-06 |
| 1588028641 | Therapy and Wellness for Women LLC | Clinic/Center | 769 Farmington Ave, Box 11, Farmington, CT 06032-2364 | 2016-04-05 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 04938 |
Please comment or provide details below to improve the information on EVERGREEN BEHAVIORAL SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.