Organization Active NPI

Evergreen Psychiatry PLLC

Doing business as Evergreen Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1467348177
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EVERGREEN PSYCHIATRY PLLC
Doing business as
Evergreen Psychiatry
Practice address
2594 S Lewis Way Unit E
Lakewood, CO 80227-2839
Phone
(720) 696-9502
Fax
(720) 796-7866
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Husam Saifuldeen Salih, PMHNP-BCNPI 1245940832
Title
Owner
Phone
(970) 768-4465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2594 S Lewis Way Unit E
Lakewood, CO 80227-2839

Mailing address

7834 W Oxford Cir
Lakewood, CO 80235-1937
Phone (970) 768-4465

Other names 1

  • Evergreen Psychiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251019000017 CO Part B Supplier - Clinic/Group Practice 8729576178 Practice locations: Lakewood, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1467348177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7834 W OXFORD CIR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802351937",
            "telephone_number": "970-768-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 S LEWIS WAY UNIT E",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802272839",
            "telephone_number": "720-696-9502",
            "fax_number": "720-796-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "SALIH",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_middle_name": "SAIFULDEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-768-4465",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.