EVERGREEN SPECTRUM CLINIC LLC
NPI 1376443051
Clinic/Center - Mental Health (Including Community Mental Health Center) in Eagle Mountain, UT
About Evergreen Spectrum Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN SPECTRUM CLINIC LLC (NPI 1376443051) is a healthcare organization registered as a mental health (including community mental health center) in Eagle Mountain, Utah and active in the NPI registry since November 2026. The organization lists Randi Tolman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Spectrum Clinic LLC's NPI number?
The NPI number for Evergreen Spectrum Clinic LLC is 1376443051. It was assigned to this organization in the NPPES registry on November 6, 2026.
Where is Evergreen Spectrum Clinic LLC located?
Evergreen Spectrum Clinic LLC is located at 3761 N Tumwater West Dr, Eagle Mountain, UT 84005. The listed phone number is (801) 895-5926.
What is Evergreen Spectrum Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
When was this NPI record last updated?
The NPPES record for Evergreen Spectrum Clinic LLC was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.
# Evergreen Spectrum Clinic Llc · NPI 1376443051
Mental Health (Including Community Mental Health Center) organization in Eagle Mountain, Utah. Organization record, active in the CMS NPPES registry since November 6, 2026.
## Identity
- **NPI:** 1376443051 (Entity type: Organization)
- **Enumerated:** November 6, 2026
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Randi Tolman, OWNER
## Practice location
- **Address:** 3761 N TUMWATER WEST DR, Eagle Mountain, UT 84005-6167
- **Phone:** (801) 895-5926
## Record status
- **NPPES last updated:** November 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376443051) · Data from the CMS NPPES public registry.