Evergreen Psychology, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

EVERGREEN PSYCHOLOGY, LLC

Practice address

235 W Patrick St
Frederick, MD 21701-6934

Phone

(301) 662-4160

Fax

(301) 620-4344

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert F Mannis, PHDNPI 1831224906

Title

President

Phone

(301) 662-4160

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Psychology and Psychotherapy Associates, LLC Other name

Locations

Practitioners 1

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

• Robert Frank Mannis, PHD

  • Psychologist
  • Frederick, MD
  • NPI 1831224906
  NPD (past) Authorized official

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1932368628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016934",
            "telephone_number": "301-662-4160",
            "fax_number": "301-620-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016934",
            "telephone_number": "301-662-4160",
            "fax_number": "301-620-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "MANNIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-662-4160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Psychology and Psychotherapy Associates, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melanie Evans, LCPC
• Natalie Evans, LMT
• Patrick John Evans, MHA, LAT, ATC
• Ever-Will Healthcare Services
• Evercare Health Services, Inc.
• Evergreen Therapy Group, LLC
• Lindsay Ewald
• Aaron Exum, LMT
• Eye to Eye of Frederick Inc
• Gail Eye

• Psychologist in Frederick, MD
• Providers in Frederick, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.