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Evergreen Mental Health & Assessment, LLC

Clinical Psychologist in Clay, NY · enumerated 2022 · authorized official Alexander Hinnebusch, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073225090

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Mental Health & Assessment, LLC
Practice address 4758 Lynnville Way, Clay, NY, 13041
Phone (240) 274-0012
Enumeration date Dec 21, 2022
Last updated in NPPES Dec 21, 2022

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Primary
261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Alexander Hinnebusch
Title Owner
Phone (240) 274-0012

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Evergreen Mental Health & Assessment, LLC?
The NPI for Evergreen Mental Health & Assessment, LLC is 1073225090, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Evergreen Mental Health & Assessment, LLC?
NPPES lists Alexander Hinnebusch (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-21.