EVERGREEN HEALTH CENTER, PC (NPI# 1306942693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306942693 |
| Entity Type | Organization |
| Organization Name | EVERGREEN HEALTH CENTER, PC |
| Practice Address |
1859 S Jefferson Ave Lebanon MO 65536-4221 |
| Practice Telephone | 4175887923 |
| Practice Fax Number | 4175887924 |
| Mailing Telephone | 4175887923 |
| Mailing Fax Number | 4175887924 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AMY SNOOK (OFFICE MANAGER) |
| Authorized Official Telephone | 4175887923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
1859 S JEFFERSON AVE |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861548372 | Tammy J Brown | Psychologist | 1859 S Jefferson Ave, Lebanon, MO 65536-4221 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520065 | Tracey King | Psychologist | 726 E Main St Ste F210, Lebanon, OH 45036-1900 | 2020-05-24 |
| 1164932083 | Kimberly Anne Lovelock | Psychologist | 964 Isabel Dr, Lebanon, PA 17042-7482 | 2017-10-05 |
| 1073731667 | Michael W Mills | Psychologist | Po Box 766, Lebanon, NH 03766-0766 | 2007-04-22 |
| 1518035005 | Karen Lee Gillock | Psychologist | 115 Etna Rd, Building 1, Suite 2, Lebanon, NH 03766-1429 | 2006-12-01 |
| 1255431037 | John Reynolds Fullerton | Psychologist | Va Medical Center (620), 1700 Lincoln Avenue, Lebanon, PA 17042-0000 | 2006-09-22 |
| 1003915786 | Peter J Garito | Psychologist | 94 Norway Ln, Lebanon, PA 17042-9098 | 2006-09-21 |
| 1265466924 | Linda Julia Lee-dynes | Psychologist | 85 Mechanic St Ste 360, Lebanon, NH 03766-1500 | 2006-07-10 |
| 1194722181 | Roy A Smith Jr. | Psychologist | 200 N. 7th Street, Lebanon, PA 17046-5040 | 2005-07-05 |
| 1235647538 | Michael Jeffrey Itzkowitz | Psychologist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2018-01-21 |
| 1043737208 | Daniel Lloyd | Psychologist | 283 Butler Rd, Lebanon, PA 17042-8939 | 2017-08-28 |
| Find all providers in LEBANON | ||||
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| 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.