EVERGREEN PSYCHIATRY INC. NPI 1033994512

NPI Information

  • NPI: 1033994512
  • Provider Name: EVERGREEN PSYCHIATRY INC.
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 4440 TWAIN AVE APT 180
    SAN DIEGO, CA
    ZIP 92120
  • Phone: (619) 316-2323

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NPI Details

EVERGREEN PSYCHIATRY INC. is a psychiatric/mental health nurse practitioner in San Diego, CA. EVERGREEN PSYCHIATRY INC. NPI is 1033994512. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4440 TWAIN AVE APT 180
SAN DIEGO, CA
ZIP 92120-471
Phone: (619) 316-2323

The provider's authorized official is David Brian Lindley .
The authorized official title is Owner and has the following contact phone number (619) 316-2323.

The enumeration date for this NPI number is 8/31/2023 and was last updated on 8/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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