Evergreen Behavioral Management

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

A8422 Issued in NC

Legal business name

EVERGREEN BEHAVIORAL MANAGEMENT

Practice address

220 Wintergreen Dr
G & H
Lumberton, NC 28358-2376

Phone

(910) 738-9420

Fax

(910) 671-9414

NPI assigned

Sep 14, 2011

Last updated

Sep 14, 2011By 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

Mrs. Daniel Pistonem, M.D.

Title

Medical Director

Phone

(910) 641-0600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1447532536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WINTERGREEN DR # G&H",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582376",
            "telephone_number": "910-738-9420",
            "fax_number": "910-671-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WINTERGREEN DR",
            "address_2": "G & H",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582376",
            "telephone_number": "910-738-9420",
            "fax_number": "910-671-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN BEHAVIORAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "PISTONEM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "910-641-0600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "A8422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cauveh Erami, M.D.
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• Heather Estrada
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• Excellent Choice Home Health Care and Uniform Sales
• Eyecarecenter OD PA

• Case Management Agency in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.