EVERGREEN PSYCHOLOGY NEW YORK P.C.
NPI 1902755325
Psychologist - Cognitive & Behavioral in Los Angeles, CA
About Evergreen Psychology New York P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN PSYCHOLOGY NEW YORK P.C. (NPI 1902755325) is a healthcare organization registered as a cognitive & behavioral in Los Angeles, California and active in the NPI registry since January 2026. The organization lists Daniel Fenton, Head Of Neuropsychological Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Psychology New York P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Evergreen Psychology New York P.C., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Psychology New York P.C.'s NPI number?
The NPI number for Evergreen Psychology New York P.C. is 1902755325. It was assigned to this organization in the NPPES registry on January 27, 2026.
Where is Evergreen Psychology New York P.C. located?
Evergreen Psychology New York P.C. is located at 513 N Gower St, Los Angeles, CA 90004. The listed phone number is (206) 801-1621.
What is Evergreen Psychology New York P.C.'s specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.
Is Evergreen Psychology New York P.C. enrolled in Medicare?
Yes. Evergreen Psychology New York P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Evergreen Psychology New York P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Evergreen Psychology New York P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Evergreen Psychology New York P.C. was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 Psychology New York P.c. · NPI 1902755325
Cognitive & Behavioral organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since January 27, 2026.
## Identity
- **NPI:** 1902755325 (Entity type: Organization)
- **Enumerated:** January 27, 2026
- **Primary specialty:** Psychologist - Cognitive & Behavioral · taxonomy 103TB0200X
- **Organization subpart:** No
- **Authorized official:** Daniel Fenton, HEAD OF NEUROPSYCHOLOGICAL SERVICES
## Practice location
- **Address:** 513 N GOWER ST, Los Angeles, CA 90004-1301
- **Phone:** (206) 801-1621 · **Fax:** (206) 260-3185
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Clinical Social Worker) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902755325) · Data from the CMS NPPES public registry.