EVERGREEN WELLNESS CENTER, LLC
NPI 1467063875
Psychologist - Clinical in Taunton, MA

Active since August 11, 2020
171 HIGHLAND ST APT 303, TAUNTON, MA 02780(508) 386-2094(508) 967-7194 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2022, Sep 7, 2021, Mar 8, 2021 and 3 more (6 updates tracked since 2020).

About Evergreen Wellness Center, Llc NPPES

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

EVERGREEN WELLNESS CENTER, LLC (NPI 1467063875) is a healthcare organization registered as a clinical in Taunton, Massachusetts and active in the NPI registry since August 2020. The organization maintains a secondary practice location in West Warwick and lists Rebecca Nili Uth, Manager, as its authorized official.

NPPES Registry Identity

NPI1467063875
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameEVERGREEN WELLNESS CENTER, LLC
Location Address171 HIGHLAND ST APT 303Taunton, MA 02780-4446
Mailing AddressPo Box 767West Warwick, RI 02893-0610 · (508) 386-2094 · Fax (508) 967-7194
Fax(508) 967-7194
Organization SubpartNo
Authorized OfficialRebecca Nili UthManager · (508) 386-2094
Enumeration DateAugust 11, 2020
Last NPPES UpdateMay 24, 20226 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
NPI 1467063875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 ListedSocial WorkerTaxonomy 104100000X
171 HIGHLAND ST APT 303, Taunton, MA 02780

Secondary Practice Location 1

Location 1100 Washington St Unit 767West Warwick, RI 02893-7749 · Phone (508) 386-2094 · Fax (508) 967-7194

Other Identifiers 1

Medicaid110165840AMA

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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 Wellness Center, LLC's NPI number?

The NPI number for Evergreen Wellness Center, LLC is 1467063875. It was assigned to this organization in the NPPES registry on August 11, 2020.

Where is Evergreen Wellness Center, LLC located?

Evergreen Wellness Center, LLC is located at 171 Highland St Apt 303, Taunton, MA 02780. The listed phone number is (508) 386-2094.

What is Evergreen Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Evergreen Wellness Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Evergreen Wellness Center, LLC 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 Wellness Center, LLC was last updated on May 24, 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.