EVERGREEN MENTAL HEALTH & ASSESSMENT, LLC
NPI 1073225090
Psychologist - Clinical in Clay, NY

Q: What is Evergreen Mental Health & Assessment, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since December 21, 2022

4758 LYNNVILLE WAY, CLAY, NY 13041(240) 274-0012 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Evergreen Mental Health & Assessment, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN MENTAL HEALTH & ASSESSMENT, LLC (NPI 1073225090) is a healthcare organization registered as a clinical in Clay, New York and active in the NPI registry since December 2022. The organization lists Alexander Joseph Hinnebusch, Owner, as its authorized official.

NPPES Registry Identity

NPI1073225090

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameEVERGREEN MENTAL HEALTH & ASSESSMENT, LLC

Location Address4758 LYNNVILLE WAYClay, NY 13041-8990

Mailing Address4758 Lynnville WayClay, NY 13041-8990 · (240) 274-0012

Phone(240) 274-0012

Organization SubpartNo

Authorized OfficialAlexander Joseph HinnebuschOwner · (240) 274-0012

Enumeration DateDecember 21, 2022

NPPES CertifiedDecember 21, 2022

✔ NPI 1073225090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

4758 LYNNVILLE WAY, Clay, NY 13041

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEXANDER JOSEPH HINNEBUSCH PH.D.

Psychologist (Clinical)

4758 LYNNVILLE WAY
CLAY, NY 13041

Onondaga County (240) 274-0012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Mental Health & Assessment, LLC's NPI number?

The NPI number for Evergreen Mental Health & Assessment, LLC is 1073225090. It was assigned to this organization in the NPPES registry on December 21, 2022.

Where is Evergreen Mental Health & Assessment, LLC located?

Evergreen Mental Health & Assessment, LLC is located at 4758 Lynnville Way, Clay, NY 13041. The listed phone number is (240) 274-0012.

What is Evergreen Mental Health & Assessment, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Evergreen Mental Health & Assessment, LLC was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.