Evergreen Wellness Health LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

EVERGREEN WELLNESS HEALTH LLC

Doing business as

Betty Wang MD

Practice address

220 5TH Avenue
11TH Floor, Office #23
New York, NY 10001

Phone

(914) 266-0524

Fax

(757) 432-3277

NPI assigned

Jul 18, 2023

Last updated

Jul 18, 2023By 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

Dr. Chang Wang, MDNPI 1477059277

Title

Owner

Phone

(914) 266-0524

Specialties & licenses 1

Addresses

Other names 1

• Betty Wang MD Doing business as

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.

• Chang Wang, MD

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1477059277
  NPD Authorized official

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1861171696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORTHSIDE PIERS",
            "address_2": "APT 14E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 5TH AVENUE",
            "address_2": "11TH FLOOR, OFFICE #23",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "914-266-0524",
            "fax_number": "757-432-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN WELLNESS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-266-0524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Betty Wang MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evergreen Clinical Services LLC
• Evergreen Global Solutions
• Evergreen Medical Clinic P.C
• Evergreen Therapeutic Collective LLC
• Evergreen Therapeutic Practice LCSW PLLC
• Anne Michelle Gungon Everhart, MSN, FNP-C
• Teresa H Evering, MD
• Everlin Fernandez NP in Psyciatry PLLC
• Evernorth Direct Health LLC
• Martin Mary Evers, M.D.

• Child & Adolescent Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.