Evergreen Psychotherapy Center

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

EVERGREEN PSYCHOTHERAPY CENTER

Practice address

32065 Castle CT
Suite 325
Evergreen, CO 80439-9586

Phone

(303) 674-4029

Fax

(303) 674-4078

NPI assigned

Feb 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Terry M Levy, PH.DNPI 1073680948

Title

Clinical Director

Phone

(303) 674-4029

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Terry Michael Levy, PHD

  • Clinical Psychologist
  • Evergreen, CO
  • NPI 1073680948
  NPD (past) Authorized official

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427196005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32065 CASTLE CT",
            "address_2": "SUITE 325",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399586",
            "telephone_number": "303-674-4029",
            "fax_number": "303-674-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32065 CASTLE CT",
            "address_2": "SUITE 325",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399586",
            "telephone_number": "303-674-4029",
            "fax_number": "303-674-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PSYCHOTHERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "303-674-4029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Operations, LLC (Life Care Center of Evergreen)
• Evergreen Oral and Maxillofacial Surgery
• Evergreen Pathways Counseling, LLC
• Evergreen Pediatrics, LLC (Evergreen Conifer Pediatrics)
• Evergreen Physical Therapy Specialists, PC
• Evergreen Spine and Sports Medicine LLC
• Evergreen Therapeutic Massage LLC
• Evergreen Vision Clinic, PC
• Fabled Counseling
• Jennifer Faike, MS, OTR/L

• Psychologist in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Psychologist in Colorado

• 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.