Evergreen Behavioral Health PC
NPI 1205146776 · Clinical Psychologist · Vancouver, WA
Evergreen Behavioral Health PC is a Clinical Psychologist organization in Vancouver, WA (NPI 1205146776).
Provider details
- NPI number
- 1205146776
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jill Fancher, Clinic Director/Owner(360) 450-0140
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Evergreen Behavioral Health
Registry dates
- Enumerated
- 2010-10-18
- Last updated
- 2014-10-21
Frequently asked questions
- What is Evergreen Behavioral Health PC's NPI number?
- Evergreen Behavioral Health PC's National Provider Identifier (NPI) is 1205146776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Behavioral Health PC?
- Evergreen Behavioral Health PC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Evergreen Behavioral Health PC located?
- Evergreen Behavioral Health PC's practice location on file with NPPES is 2621 Ne 134th St Ste 340, Vancouver, WA 98686-3036.
- What is Evergreen Behavioral Health PC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Behavioral Health PC is (360) 450-0140.
- Who is the authorized official for Evergreen Behavioral Health PC?
- The authorized official listed on Evergreen Behavioral Health PC's NPPES record is Jill Fancher, Clinic Director/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Behavioral Health PC's NPI active?
- Yes — Evergreen Behavioral Health PC's NPI (1205146776) is active in the NPPES registry as of the last update on 2014-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.