Evergreen Health Center, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

EVERGREEN HEALTH CENTER, PC

Practice address

1859 S Jefferson Ave
Lebanon, MO 65536-4221

Phone

(417) 588-7923

Fax

(417) 588-7924

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Amy Snook

Title

Office Manager

Phone

(417) 588-7923

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Tammy J Brown, PSY.D.

  • Psychologist
  • Lebanon, MO
  • NPI 1861548372
  NPD (past)
• Sara Hollis, PSY.D.

  • Clinical Psychologist
  • Springfield, MO
  • NPI 1528049392
  NPD (past)
• Rhett E McCarty, PSY.D.

  • Psychologist
  • Jefferson City, MO
  • NPI 1578669859
  NPD (past)
• Jeanine L. Siewert, MSW, LCSW

  • Social Worker
  • Springfield, MO
  • NPI 1477783629
  NPD (past)
• Bethany Ann O'Neill, PSY.D.

  • Psychologist
  • Bellevue, WA
  • NPI 1871681981
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306942693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 S JEFFERSON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655364221",
            "telephone_number": "417-588-7923",
            "fax_number": "417-588-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 S JEFFERSON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655364221",
            "telephone_number": "417-588-7923",
            "fax_number": "417-588-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HEALTH CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNOOK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-588-7923"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micheal J Durham, D.O.
• Rebecca Eadie, LMT
• Megean A. Eggert, PLMFT
• Sinhareeb Emara, DMD
• Empowerme Rehabilitation Missouri LLC
• F.C. of Missouri Inc
• Faithful Transports LLC
• Family Health Associates, P.C.
• Family Health Associates, P.C.
• Family Institute of Mental Health, Inc.

• Psychologist in Lebanon, MO
• Providers in Lebanon, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.