Evergreen Mental Health Services, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EVERGREEN MENTAL HEALTH SERVICES, INC.

Practice address

1645 Ridgely St
Suite 100
Baltimore, MD 21230-2050

Phone

(240) 251-4702

Fax

(301) 251-4703

NPI assigned

Aug 15, 2014

Organization subpart

Yes

Parent organization

EVERGREEN MENTAL HEALTH SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Barton Azwalinsky

Title

Ceo

Phone

(301) 251-4702

Specialties & licenses 5

Addresses

Part of

Evergreen Mental Health

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Evergreen Mental Health Services, Inc.

  • Psychiatry Physician
  • Gaithersburg, MD
  • NPI 1114236692
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sonya A Braverman, LCSW-C

  • Clinical Social Worker
  • Bethesda, MD
  • NPI 1639241664
  NPD (past)
• Carlos Collin, MD

  • Psychiatry Physician
  • Rockville, MD
  • NPI 1609850171
  NPD (past)
• Mira Silberg, LCSW-C

  • Clinical Social Worker
  • Rockville, MD
  • NPI 1942241906
  NPD (past)
• Arlene Karen Berger, RN CS NP PHD

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Alexandria, VA
  • NPI 1356573364
  NPD (past)

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083013999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 GAITHER RD STE 220",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771407",
            "telephone_number": "240-251-4702",
            "fax_number": "301-251-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 RIDGELY ST",
            "address_2": "SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302050",
            "telephone_number": "240-251-4702",
            "fax_number": "301-251-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN MENTAL HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVERGREEN MENTAL HEALTH SERVICES, INC.",
        "enumeration_date": "2014-08-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AZWALINSKY",
        "authorized_official_first_name": "BARTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-251-4702"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Everett, PA-C
• Nina Miles Everett, M.D.
• Tanisha Everett, LCSW-C
• Evergreen Healthcare Clinic Limited Liability Company
• Evergreen Healthcare Clinic Limited Liability Company
• Evergreen Psychological Services LLC
• Janice Talia Everheart
• Ian Kyle Everitt, MD
• Everlasting Arms Health Services
• Everlasting Arms Inc.

• Psychiatry Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.