Organization Active NPI

Evergreen Psychiatric and Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mechanicsville, VA
National Provider Identifier
1669341475
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EVERGREEN PSYCHIATRIC AND MENTAL HEALTH SERVICES LLC
Practice address
6404 Garden Acre CT
Mechanicsville, VA 23111-6534
Phone
(804) 647-3826
Fax
(804) 647-3826
NPI assigned
Oct 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Mr. Olatunde Akinnola Akinfolajimi, NURSE PRACTITIONERNPI 1295423887
Title
Owner
Phone
(804) 647-3826

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: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

6404 Garden Acre CT
Mechanicsville, VA 23111-6534

Mailing address

6404 Garden Acre CT
Mechanicsville, VA 23111-6534
Phone (804) 647-3826

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": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1669341475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 GARDEN ACRE CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231116534",
            "telephone_number": "804-647-3826",
            "fax_number": "804-647-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 GARDEN ACRE CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231116534",
            "telephone_number": "804-647-3826",
            "fax_number": "804-647-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PSYCHIATRIC AND MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "AKINFOLAJIMI",
        "authorized_official_first_name": "OLATUNDE",
        "authorized_official_middle_name": "AKINNOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-647-3826",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.