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EVERGREEN PSYCHOLOGICAL SERVICES
NPI 1184376048
Clinical Neuropsychologist in Olympia, WA

Active since January 21, 2022
1930 BLACK LAKE BLVD SW # 102, OLYMPIA, WA 98512(360) 347-6172(360) 350-4619 Get Directions Write a Review

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

About Evergreen Psychological Services NPPES

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

EVERGREEN PSYCHOLOGICAL SERVICES (NPI 1184376048) is a healthcare organization registered as a clinical neuropsychologist in Olympia, Washington and active in the NPI registry since January 2022. The organization lists Evan Lima, Owner, as its authorized official.

NPPES Registry Identity

NPI1184376048
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameEVERGREEN PSYCHOLOGICAL SERVICES
Location Address1930 BLACK LAKE BLVD SW # 102Olympia, WA 98512-5651
Mailing Address1930 Black Lake Blvd Sw # 102Olympia, WA 98512-5651 · (360) 347-6172 · Fax (360) 350-4619
Phone(360) 347-6172
Fax(360) 350-4619
Organization SubpartNo
Authorized OfficialEvan LimaOwner · (360) 347-6172
Enumeration DateJanuary 21, 2022
NPPES CertifiedJanuary 21, 2022
✔ NPI 1184376048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
1930 BLACK LAKE BLVD SW # 102, Olympia, WA 98512
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 Psychological Services's NPI number?

The NPI number for Evergreen Psychological Services is 1184376048. It was assigned to this organization in the NPPES registry on January 21, 2022.

Where is Evergreen Psychological Services located?

Evergreen Psychological Services is located at 1930 Black Lake Blvd SW # 102, Olympia, WA 98512. The listed phone number is (360) 347-6172.

What is Evergreen Psychological Services's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

What insurance does Evergreen Psychological Services accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Evergreen Psychological Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Psychological Services was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.