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EVERGREEN BEHAVIORAL HEALTH
NPI 1205146776
Psychologist - Clinical in Vancouver, WA

Active since October 18, 2010
2621 NE 134TH ST STE 340, VANCOUVER, WA 98686(360) 450-0140(877) 343-0535 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Behavioral Health NPPES

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

EVERGREEN BEHAVIORAL HEALTH (NPI 1205146776) is a healthcare organization registered as a clinical in Vancouver, Washington and active in the NPI registry since October 2010. The organization lists Jill B Fancher, Clinic Director/owner, as its authorized official.

NPPES Registry Identity

NPI1205146776
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameEVERGREEN BEHAVIORAL HEALTH PC
Location Address2621 NE 134TH ST STE 340Vancouver, WA 98686-3036
Mailing Address2621 Ne 134th St Ste 340Vancouver, WA 98686-3036 · (360) 450-0140 · Fax (877) 343-0535
Phone(360) 450-0140
Fax(877) 343-0535
Organization SubpartNo
Authorized OfficialJill B FancherClinic Director/owner · (360) 450-0140
Enumeration DateOctober 18, 2010
Last NPPES UpdateOctober 21, 2014
✔ NPI 1205146776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMassage TherapistTaxonomy 225700000X
2621 NE 134TH ST STE 340, Vancouver, WA 98686
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Other Names 1

Doing Business AsEvergreen Behavioral Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

STACY LYNN ELLIS PSYD
Psychologist
2621 NE 134TH ST STE 340
VANCOUVER, WA 98686
Clark County (360) 450-0140

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 Behavioral Health PC's NPI number?

The NPI number for Evergreen Behavioral Health PC is 1205146776. It was assigned to this organization in the NPPES registry on October 18, 2010. The provider is doing business as Evergreen Behavioral Health.

Where is Evergreen Behavioral Health PC located?

Evergreen Behavioral Health PC is located at 2621 NE 134th St Ste 340, Vancouver, WA 98686. The listed phone number is (360) 450-0140.

What is Evergreen Behavioral Health PC'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 Behavioral Health PC was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.