EVERGREEN PSYCHIATRY INC.
NPI 1033994512
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

NPI Status: Active since August 31, 2023

Contact Information

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

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About EVERGREEN PSYCHIATRY INC.

This page provides the complete NPI Profile along with additional information for Evergreen Psychiatry Inc., a provider established in San Diego, California operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1033994512 assigned on August 2023. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is David Brian Lindley Pmhnp (Owner)

NPI
1033994512
Provider Name
EVERGREEN PSYCHIATRY INC.
Entity Type
Organization
Location Address
4440 TWAIN AVE APT 180 SAN DIEGO, CA 92120
Location Phone
(619) 316-2323
Mailing Address
4440 TWAIN AVE APT 180 SAN DIEGO, CA 92120
Mailing Phone
(619) 316-2323
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2023
Last Update Date
08-31-2023
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A nurse practitioner (NP) like Evergreen Psychiatry Inc. is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID BRIAN LINDLEY PMHNP

Authorized Official Title
OWNER
Authorized Official Phone
(619) 316-2323

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033994512
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063189852
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 8 + 9 + 8 + 5 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1033994512 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033994512, enumerated in the NPI registry as an "organization" on August 31, 2023

The provider is located at 4440 Twain Ave Apt 180 San Diego, Ca 92120 and the phone number is (619) 316-2323

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on August 31, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.