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

Q: 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.

Q: What is Evergreen Wellness Center, LLC's specialty?

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

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: October 25, 2026.

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

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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

Phone(508) 386-2094

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evergreen Wellness Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Evergreen Wellness Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Rebecca Uth, PSYD

Clinical Psychologist

NPI 1669923975

171 HIGHLAND STREET UNIT 303
Taunton, MA 02780

(508) 386-2094

✔ PECOS✔ Accepts MedicareSame address

Christina Fucci, PSY.D

Clinical Psychologist

NPI 1487987863

400 BALD HILL ROAD SUITE 530
Warwick, RI 02886

(401) 349-3131

✔ PECOS22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Evergreen Wellness Center, LLC enrolled in Medicare?

Yes. Evergreen Wellness Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Wellness Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Evergreen Wellness Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.