EVERGREEN BEHAVIORAL HEALTH
NPI 1205146776
Psychologist - Clinical in Vancouver, WA
NPI Status: Active since October 18, 2010
Contact Information
2621 NE 134TH ST STE 340
VANCOUVER, WA
ZIP 98686
Phone: (360) 450-0140
Fax: (877) 343-0535
- Organization
- Psychologist
- Clinical
About EVERGREEN BEHAVIORAL HEALTH
This page provides the complete NPI Profile along with additional information for Evergreen Behavioral Health, a provider established in Vancouver, Washington operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1205146776 assigned on October 2010. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Evergreen Behavioral Health operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Evergreen Behavioral Health. The authorized official of this NPI record is Jill B Fancher Ph.d. (Clinic Director/owner)
- NPI
- 1205146776
- Provider Legal Name
- EVERGREEN BEHAVIORAL HEALTH PC
- Other Organization Name
- EVERGREEN BEHAVIORAL HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2621 NE 134TH ST STE 340 VANCOUVER, WA 98686
- Location Phone
- (360) 450-0140
- Location Fax
- (877) 343-0535
- Mailing Address
- 2621 NE 134TH ST STE 340 VANCOUVER, WA 98686
- Mailing Phone
- (360) 450-0140
- Mailing Fax
- (877) 343-0535
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-18-2010
- Last Update Date
- 10-21-2014
- Code Navigator
A clinical psychologist like Evergreen Behavioral Health assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
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
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
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 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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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 1205146776, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205146776, enumerated as an "organization" on October 18, 2010.
The provider is located at 2621 NE 134TH ST STE 340 VANCOUVER, WA 98686 and the phone number is (360) 450-0140.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
