EVERGREEN PSYCHOTHERAPY CENTER (NPI# 1427196005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427196005 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PSYCHOTHERAPY CENTER |
| Practice Address |
32065 Castle Ct Suite 325 Evergreen CO 80439-9586 |
| Practice Telephone | 3036744029 |
| Practice Fax Number | 3036744078 |
| Mailing Telephone | 3036744029 |
| Mailing Fax Number | 3036744078 |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TERRY M LEVY (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3036744029 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
32065 CASTLE CT SUITE 325 |
| City | EVERGREEN |
| State | CO |
| Zip Code | 80439-9586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073680948 | Terry Michael Levy | Psychologist | 32065 Castle Ct, Ste 325 Evergreen Psychotherapy Ctr, Evergreen, CO 80439 | 2006-11-29 |
| 1003138140 | Terry M. Levy,ph.d.,p.a. | Psychologist | 32065 Castle Ct, Suite 325, Evergreen, CO 80439-9586 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386134351 | Mary Elizabeth Pruet | Speech-Language Pathologist | 26284 Grand Summit Trl, Evergreen, CO 80439 | 2018-05-15 |
| 1821511031 | Marie Ann St. Denis | Acupuncturist | 27919 Alabraska Lane, Evergreen, CO 80439 | 2017-07-19 |
| 1285173203 | Natalie Mannon Ibrahim | Physician Assistant | 30940 Stagecoach Blvd, Ste E290, Elk Ridge Family Physicians, Inc, Evergreen, CO 80439 | 2017-02-23 |
| 1801330923 | Leah Black | Dietitian, Registered | 2952 Conifer Circle, Evergreen, CO 80439 | 2016-12-08 |
| 1831640291 | Bear Creek Mental Health LLC | Community/Behavioral Health | 4911 Plettner Ln, Ste 210, Evergreen, CO 80439 | 2016-10-20 |
| 1164971974 | Animal-assisted Therapy of The Mountain Communities | Counselor | 28000 Meadow Dr Suite 105, Evergreen, CO 80439 | 2016-09-22 |
| 1093191793 | Jennifer Schreiber | Occupational Therapist | 1659 Stoneham Lane, Evergreen, CO 80439 | 2015-08-04 |
| 1366879371 | Victoria Carleen Bown | Physical Therapist | 32003 Ellingwood Trail, Evergreen, CO 80439 | 2013-10-04 |
| 1235563867 | Sharon Bland Morgan | Registered Nurse | 5435 So. Twinspruce Rd., Evergreen, CO 80439 | 2013-08-30 |
| 1720429129 | Lorna Mary Cochrane | Behavioral Analyst | 7345 Heiter Hill Dr., Evergreen, CO 80439 | 2013-07-13 |
| Find all providers in zip 80439 | ||||
| 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 |
|---|---|---|---|---|
| 1144419490 | Karen L Midyet | Psychologist | 193 Mary Beth Rd, Evergreen, CO 80439-4312 | 2007-10-22 |
| 1245376920 | Elizabeth A Gray | Psychologist | 3092 Evergreen Parkway, Suite 200, Evergreen, CO 80439 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647389 | A Peaceful Mind LLC | Psychologist | 420 S Howes St Ste B-100, Fort Collins, CO 80521-2871 | 2020-10-21 |
| 1386242907 | Sarah Mcconnell | Psychologist | 7488 S Lafayette Cir E, Centennial, CO 80122-1414 | 2020-10-15 |
| 1437766466 | Lindsay Shaw | Psychologist | 9451 Palladium Hts # C416, Colorado Springs, CO 80920-1615 | 2020-09-24 |
| 1609489608 | Bradley T Conner | Psychologist | 3203 Green Lake Drive, Fort Collins, CO 80524-1261 | 2020-08-28 |
| 1942810361 | Jessica Luginbuhl | Psychologist | 1805 S Bellaire St Ste 502, Denver, CO 80222-4325 | 2020-08-01 |
| 1396353231 | Daniel Raedel | Psychologist | 2010 Willard Loop Dr, N352, Boulder, CO 80305-2448 | 2020-07-16 |
| 1902421415 | Brian Daniel Gustman | Psychologist | 6333 Copper Dr, Frederick, CO 80516-9351 | 2020-06-10 |
| 1619502838 | Ute Pass Psychological Consultation | Psychologist | 900 Tamarac Pkwy Unit 7122, Woodland Park, CO 80863-7776 | 2020-03-09 |
| 1558994376 | Hopebridge LLC | Psychologist | 1 Inverness Dr E Ste 101, Englewood, CO 80112-5519 | 2020-02-20 |
| 1669005922 | Kate Klein Mcgoldrick | Psychologist | 495 Uinta Way Ste 220, Denver, CO 80230-7198 | 2020-02-14 |
| Find all providers with the same taxonomy | ||||
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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.