OrganizationActive
Evergreen Psychological Services, LLC
NPI 1639615206 · Clinical Psychologist · Zionsville, IN
Provider details
- NPI number
- 1639615206
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Randall Young, Vice President/Business Administrat(317) 520-4650
- License
- 39001948A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1155 Parkway Dr. Ste 200
Zionsville, IN 46077-8541
Phone: (317) 520-4650
Street-level locationGet directions
Mailing address
1155 Parkway Dr. Ste 200
Zionsville, IN 46077-8541
Registry dates
- Enumerated
- 2017-01-06
- Last updated
- 2017-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.