Evergreen Behavioral Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PYO1319 Issued in MO

Legal business name

EVERGREEN BEHAVIORAL SERVICES, LLC

Practice address

116 S Jefferson St
Mexico, MO 65265-2842

Phone

(573) 582-0292

Fax

(573) 581-6036

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Patrick G Finder, M.S.

Title

Psychologist

Phone

(573) 582-0292

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Katherine D Robinson, MS

  • Professional Counselor
  • Mexico, MO
  • NPI 1073869921
  NPD (past)
• Katherine C Sims, LCSW

  • Clinical Social Worker
  • Mexico, MO
  • NPI 1104065119
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1881733491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652650871",
            "telephone_number": "573-582-0292",
            "fax_number": "573-581-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S JEFFERSON ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652842",
            "telephone_number": "573-582-0292",
            "fax_number": "573-581-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "FINDER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "573-582-0292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PYO1319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Ell, OT
• George Donald Erickson, MSW, LCSW
• Patricia Ann Erwin, LCSW
• Ebony Evans, NP-FNP
• Evergreen Behavioral Services, LLC
• Eye to Eye Optometry, Inc
• Andrea Leigh Feger, FNP-BC
• Finck & Associates, Inc
• Finck & Associates, Inc.
• Alexander Charles Finck, MD

• Psychologist in Mexico, MO
• Providers in Mexico, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.