1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVERGREEN HEALTHCARE CLINIC LIMITED LIABILITY COMPANY
NPI 1659162402
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since May 13, 2025
300 N CHARLES ST STE D, BALTIMORE, MD 21201(240) 644-5570 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 7, 2026, May 13, 2025 (2 updates tracked since 2025).

About Evergreen Healthcare Clinic Limited Liability Company NPPES

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

EVERGREEN HEALTHCARE CLINIC LIMITED LIABILITY COMPANY (NPI 1659162402) is a healthcare organization registered as a psychiatric/mental health in Baltimore, Maryland and active in the NPI registry since May 2025. The organization lists Yvette Ledjo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659162402
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEVERGREEN HEALTHCARE CLINIC LIMITED LIABILITY COMPANY
Location Address300 N CHARLES ST STE DBaltimore, MD 21201-4305
Mailing Address13707 Crownsgate WayGermantown, MD 20874-4424
Phone(240) 644-5570
Organization SubpartNo
Authorized OfficialYvette LedjoCeo · (240) 644-5570
Enumeration DateMay 13, 2025
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1659162402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
300 N CHARLES ST STE D, Baltimore, MD 21201
Open in Google Maps ↗

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 5

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

DR. NATALIYA ANTROPOVA
Dentist
300 N CHARLES ST STE D
BALTIMORE, MD 21201
Baltimore City (410) 685-0002
DENTAL GROUP OF BALTIMORE CITY
Dentist (General Practice)
300 N CHARLES ST STE D
BALTIMORE, MD 21201
Baltimore City (410) 685-0002
DR. AMIR S BAREKATAIN DDS
Dentist
300 N CHARLES ST STE D
BALTIMORE, MD 21201
Baltimore City (410) 685-0002
EMILY GLESSNER RDH
Dental Hygienist
300 N CHARLES ST STE D
BALTIMORE, MD 21201
Baltimore City (410) 685-0002
EVERGREEN HEALTHCARE CLINIC LIMITED LIABILITY COMPANY
Nurse Practitioner (Family)
300 N CHARLES ST STE D
BALTIMORE, MD 21201
Baltimore City (240) 644-5570

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 Healthcare Clinic Limited Liability Company's NPI number?

The NPI number for Evergreen Healthcare Clinic Limited Liability Company is 1659162402. It was assigned to this organization in the NPPES registry on May 13, 2025.

Where is Evergreen Healthcare Clinic Limited Liability Company located?

Evergreen Healthcare Clinic Limited Liability Company is located at 300 N Charles St Ste D, Baltimore, MD 21201. The listed phone number is (240) 644-5570.

What is Evergreen Healthcare Clinic Limited Liability Company's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Evergreen Healthcare Clinic Limited Liability Company was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 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.