Evergreen Family Oriented Tree Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EVERGREEN FAMILY ORIENTED TREE INC

Practice address

1580 Chapel St
New Haven, CT 06511-4205

Phone

(203) 668-8413

NPI assigned

Feb 1, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela Allen

Title

Owner, Ceo

Phone

(203) 668-8413

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1073104154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114205",
            "telephone_number": "203-668-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114205",
            "telephone_number": "203-668-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN FAMILY ORIENTED TREE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "203-668-8413"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Evans, MD
• Jennifer M Evans
• Leigh V Evans, MD
• Evercare LLC
• Cindylou None Everet-Simpson, ICADC, CAC, CCS
• Daniel Everlith, LMFT
• Ricky G. Ewell II, CRNA
• Ahmed Hassan Ewida, MD
• Laura Ewing
• Samantha Eyen

• Community/Behavioral Health Agency in New Haven, CT
• Providers in New Haven, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.