EVERGREEN TELEPSYCHIATRY PLLC NPI 1205593449

NPI Information

  • NPI: 1205593449
  • Provider Name: EVERGREEN TELEPSYCHIATRY PLLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 11335 NE 122ND WAY STE 105
    KIRKLAND, WA
    ZIP 98034
  • Phone: (206) 451-7150

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NPI Details

EVERGREEN TELEPSYCHIATRY PLLC is a clinic center in Kirkland, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EVERGREEN TELEPSYCHIATRY PLLC NPI is 1205593449. The provider is registered as an organization entity type.

The provider's business location address is:

11335 NE 122ND WAY STE 105
KIRKLAND, WA
ZIP 98034-933
Phone: (206) 451-7150

The provider's authorized official is Joseph Michael Ungvarsky .
The authorized official title is Founder/pmhnp-bc and has the following contact phone number (570) 417-3318.

The enumeration date for this NPI number is 11/23/2021 and was last updated on 9/6/2023.

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
1261Q00000XClinic/CenterYes

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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