EVERGREEN BEHAVIORAL MANAGEMENT, INC.
NPI 1669780300
Clinic/Center - Mental Health (Including Community Mental Health Center) in Whiteville, NC

NPI Status: Active since September 15, 2010

Contact Information

1409 PINCKNEY ST
WHITEVILLE, NC
ZIP 28472
Phone: (910) 640-5512
Fax: (910) 641-0606

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About EVERGREEN BEHAVIORAL MANAGEMENT, INC.

This page provides the complete NPI Profile along with additional information for Evergreen Behavioral Management, Inc., a provider established in Whiteville, North Carolina operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1669780300 assigned on September 2010. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Ms. Ginger G. Gore (Ceo)

NPI
1669780300
Provider Name
EVERGREEN BEHAVIORAL MANAGEMENT, INC.
Entity Type
Organization
Location Address
1409 PINCKNEY ST WHITEVILLE, NC 28472
Location Phone
(910) 640-5512
Location Fax
(910) 641-0606
Mailing Address
1409 PINCKNEY ST WHITEVILLE, NC 28472
Mailing Phone
(910) 640-5512
Mailing Fax
(910) 641-0606
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-15-2010
Last Update Date
09-15-2010
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MS. GINGER G. GORE

Authorized Official Title
CEO
Authorized Official Phone
(910) 641-0600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2326986MEDICARE UPIN (02)NC 

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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.
1669780300
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26129148030
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 4 + 8 + 0 + 3 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1669780300 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881891513 ANNA FRANCES WILLIAMS-STEPHENS LCSW
Individual
Social Worker (Clinical)1409 PINCKNEY ST
WHITEVILLE, NC 28472
(910) 641-0600
1073763256EVERGREEN ACTT, INC.
Organization
Community/Behavioral Health1409 PINCKNEY ST
WHITEVILLE, NC 28472
(910) 641-0600
1225277353EVERGREEN BEHAVIORAL MANAGEMENT, INC.
Organization
Community/Behavioral Health1409 PINCKNEY ST
WHITEVILLE, NC 28472
(910) 640-5512
1083843825BEHAVIORAL HEALTH OF NORTH CAROLINA, INC.
Organization
Community/Behavioral Health1409 PINCKNEY ST
WHITEVILLE, NC 28472
(910) 641-0600
1134496151MS. GALE H. CUMMINGS MA, MFT, PLCAS
Individual
Counselor (Addiction (Substance Use Disorder))1409 PINCKNEY ST
WHITEVILLE, NC 28472
(910) 641-0600
1598028193 FALLON M FARBER P-LCSW
Individual
Social Worker (Clinical)1409 PINCKNEY ST
WHITEVILLE, NC 28472
(910) 641-0600
1801146725MRS. ANAJINETTE OWENS LCSW-A
Individual
In Home Supportive Care1409 PINCKNEY ST
WHITEVILLE, NC 28472
(910) 641-0600
1790860971EVERGREEN BEHAVIORAL MANAGEMENT INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1409 PINCKNEY ST
WHITEVILLE, NC 28472
(910) 641-0600
1265872816 ROBERT LEE BUSKEY LCAS
Individual
Counselor (Addiction (Substance Use Disorder))1409 PINCKNEY ST
WHITEVILLE, NC 28472
(910) 641-0600
1891079539 BRITTANY CARROLL BARNES LCSW
Individual
Social Worker (Clinical)1409 PINCKNEY ST
WHITEVILLE, NC 28472
(910) 641-0600
1316349772THE T ALLEN GROUP LLC
Organization
Clinic/Center (Multi-Specialty)1409 PINCKNEY ST
WHITEVILLE, NC 28472
(919) 820-2554
1487314365LIFESPAN CARE INC.
Organization
Psychiatry & Neurology (Psychiatry)1409 PINCKNEY ST
WHITEVILLE, NC 28472
(910) 914-6453
1184107542SANDHILLS INTERGRATED CARE, INC.
Organization
Counselor (Mental Health)1409 PINCKNEY ST
WHITEVILLE, NC 28472
(910) 914-6453

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669780300, enumerated in the NPI registry as an "organization" on September 15, 2010

The provider is located at 1409 Pinckney St Whiteville, Nc 28472 and the phone number is (910) 640-5512

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 15, 2010. 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.