EVERGREEN PSYCHOLOGICAL SERVICES LLC (NPI# 1164661799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164661799 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PSYCHOLOGICAL SERVICES LLC |
| Practice Address |
857 Park Ave Baltimore MD 21201-4800 |
| Practice Telephone | 4103365329 |
| Practice Fax Number | 4108782783 |
| Mailing Telephone | 4103365329 |
| Mailing Fax Number | 4108782783 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |
| Authorized Official Name | DR. PAUL PATRICK GIGGEY (DIRECTOR) |
| Authorized Official Telephone | 4103365329 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 04688 | MD | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
04688 | MD | Behavioral Health & Social Service Providers |
| Street Address |
857 PARK AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700842903 | Russell J Hibler | Psychologist | 857 Park Ave, Baltimore, MD 21201-4800 | 2006-04-25 |
| 1548746191 | Karyn Harvey | Psychologist | 857 Park Ave, Baltimore, MD 21093 | 2018-07-17 |
| 1710228739 | Russell James Group, P.a. | Psychologist | 857 Park Ave, Baltimore, MD 21201-4800 | 2013-03-15 |
| 1164794590 | Natalie Anne Feild | Psychologist | 857 Park Ave, Baltimore, MD 21201-4800 | 2012-02-01 |
| 1417236290 | Linda Mary Swaydis | Social Worker | 857 Park Ave, Baltimore, MD 21201-4800 | 2011-08-10 |
| 1629272711 | Paul Patrick Giggey | Psychologist | 857 Park Ave, Baltimore, MD 21201-4800 | 2007-06-12 |
| 1376747840 | Lynn Buhler | Psychologist | 857 Park Ave, Baltimore, MD 21201-4800 | 2007-06-11 |
| 1720208218 | The Park Avenue Group LLC | Counselor | 857 Park Ave, Baltimore, MD 21201-4800 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598385577 | Rise Life Solutions | Psychologist | 22 S Exeter St, Baltimore, MD 21202-4628 | 2020-04-20 |
| 1821617648 | Deborah Antonia Drummer | Psychologist | 1608 Burnwood Rd, Baltimore, MD 21239-3603 | 2020-04-11 |
| 1669091823 | Catherine Marie Corno Garofano | Psychologist | 10 N Greene St # 6d109, Baltimore, MD 21201-1524 | 2020-04-08 |
| 1184251969 | One Healing Education and Renewing Through Therapy | Psychologist | 210 E Lexington St. Suite 400, Suite 400, Baltimore, MD 21202-0000 | 2020-03-24 |
| 1376176974 | Jennifer May Lorenzo | Psychologist | 209 W Fayette St Fl 4, Baltimore, MD 21201-3403 | 2020-02-21 |
| 1235774878 | Sarah E Ryan | Psychologist | 707 Grundy St, Baltimore, MD 21224-4344 | 2019-11-07 |
| 1205494200 | Ophira Weiskopf | Psychologist | 3705 W Rogers Ave, Baltimore, MD 21215-4525 | 2019-06-04 |
| 1487129813 | Mental Health Assessment and Wellness, LLC | Psychologist | 5911 York Rd Ste 100, Baltimore, MD 21212-3048 | 2018-10-12 |
| 1023594017 | Yaakov Shugarman | Psychologist | 5603 Newbury St, Baltimore, MD 21209-3603 | 2018-07-13 |
| 1285140541 | Omolara Akinrinade | Psychologist | 6722 Valley Creek Dr, Baltimore, MD 21207-5319 | 2017-12-22 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.