Organization Active NPI

Evergreen Psychiatric Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1679144398
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EVERGREEN PSYCHIATRIC SERVICES, PLLC
Practice address
1700 7TH Ave Ste 2100
Seattle, WA 98101-1360
Phone
(206) 502-0991
Fax
(206) 326-1012
NPI assigned
Jul 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
John Anthony Meunier, MSN, ARNPNPI 1174878532
Title
Member
Phone
(206) 502-0991

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

1700 7TH Ave Ste 2100
Seattle, WA 98101-1360

Mailing address

7001 Seaview Ave NW Ste 160-380
Seattle, WA 98117-6006
Phone (206) 502-0991

Other names 1

  • Santosha Integrative Health Doing business as

National Provider Directory

National Provider Directory

Locations

7001 Seaview Ave NW
Ste 160380
Seattle, WA 98117

500 Mercer St
Ste 50
Seattle, WA 98109

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": "1625270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1679144398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 SEAVIEW AVE NW STE 160-380",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981176006",
            "telephone_number": "206-502-0991",
            "fax_number": "206-326-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 7TH AVE STE 2100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011360",
            "telephone_number": "206-502-0991",
            "fax_number": "206-326-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PSYCHIATRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-03",
        "last_updated": "2022-01-21",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "MEUNIER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-502-0991",
        "authorized_official_credential": "MSN, ARNP"
    },
    "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": "Santosha Integrative Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santosha Integrative Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.