Evergreen Behavioral Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

227282 Issued in ME

Legal business name

EVERGREEN BEHAVIORAL SERVICES

Practice address

131 Franklin Health Commons
Suite a Mt Blue Health Center
Farmington, ME 04938

Phone

(207) 778-0035

Fax

(207) 778-6879

NPI assigned

Oct 23, 2006

Organization subpart

Yes

Parent organization

FRANKLIN MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Mrs. Julie Welch

Title

Office Manager

Phone

(207) 778-0035

Specialties & licenses 2

Addresses

Part of

Franklin Memorial Hospi

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14575/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1124101464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 FRANKLIN HEALTH COMMONS",
            "address_2": "SUITE A",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "04938",
            "telephone_number": "207-778-0035",
            "fax_number": "207-778-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 FRANKLIN HEALTH COMMONS",
            "address_2": "SUITE A MT BLUE HEALTH CENTER",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "04938",
            "telephone_number": "207-778-0035",
            "fax_number": "207-778-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN BEHAVIORAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANKLIN MEMORIAL HOSPITAL",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-778-0035",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ME",
            "license": "227282",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "ME",
            "license": "221361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Farmington, ME
• Providers in Farmington, ME by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.