EVERGREEN PSYCHOLOGICAL SERVICES
NPI 1184376048
Clinical Neuropsychologist in Olympia, WA
NPI Status: Active since January 21, 2022
Contact Information
1930 BLACK LAKE BLVD SW # 102
OLYMPIA, WA
ZIP 98512
Phone: (360) 347-6172
Fax: (360) 350-4619
- Organization
- Clinical Neuropsychologist
- Accepts Insurance
About EVERGREEN PSYCHOLOGICAL SERVICES
This page provides the complete NPI Profile along with additional information for Evergreen Psychological Services, a provider established in Olympia, Washington operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1184376048 assigned on January 2022. The practitioner's primary taxonomy code is 103G00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Evan Lima Phd (Owner)
- NPI
- 1184376048
- Provider Name
- EVERGREEN PSYCHOLOGICAL SERVICES
- Entity Type
- Organization
- Location Address
- 1930 BLACK LAKE BLVD SW # 102 OLYMPIA, WA 98512
- Location Phone
- (360) 347-6172
- Location Fax
- (360) 350-4619
- Mailing Address
- 1930 BLACK LAKE BLVD SW # 102 OLYMPIA, WA 98512
- Mailing Phone
- (360) 347-6172
- Mailing Fax
- (360) 350-4619
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-21-2022
- Last Update Date
- 01-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1184376048, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184376048, enumerated as an "organization" on January 21, 2022.
The provider is located at 1930 BLACK LAKE BLVD SW # 102 OLYMPIA, WA 98512 and the phone number is (360) 347-6172.
Clinical Neuropsychologist with taxonomy code 103G00000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
