Organization Active NPI

Evergreen Psychological Services

  • Clinical Psychologist
  • Middleburg Heights, OH
National Provider Identifier
1750060810
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
EVERGREEN PSYCHOLOGICAL SERVICES
Practice address
7155 Pearl Rd Ste 102
Middleburg Heights, OH 44130-4945
Phone
(412) 600-9266
Fax
(440) 545-1055
NPI assigned
Jul 17, 2023
Last updated
Jul 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Marcia Troese, PHDNPI 1023475811
Title
Owner/Psychologist
Phone
(412) 600-9266

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
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

7155 Pearl Rd Ste 102
Middleburg Heights, OH 44130-4945

Mailing address

7155 Pearl Rd Ste 102
Middleburg Heights, OH 44130-4945
Phone (412) 600-9266

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1750060810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 PEARL RD STE 102",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304945",
            "telephone_number": "412-600-9266",
            "fax_number": "440-545-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 PEARL RD STE 102",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304945",
            "telephone_number": "412-600-9266",
            "fax_number": "440-545-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-16",
        "status": "A",
        "authorized_official_last_name": "TROESE",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "412-600-9266",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.