Active NPI
Victoria P Evans, PH.D.
- Clinical Neuropsychologist
- Rock Hill, SC
National Provider Identifier
1013176882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1078
- Practice address
- 229 Johnston St
Rock Hill, SC 29730-3579 - Phone
- (803) 328-2210
- NPI assigned
- Jun 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1078 | SC | Primary |
| Psychologist | 103T00000X | 3561 | NC | |
| Psychologist | 103T00000X | 1078 | SC |
Addresses
Primary practice location
229 Johnston St
Rock Hill, SC 29730-3579
Mailing address
229 Johnston St
Rock Hill, SC 29730-3579
Phone (803) 328-2210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1078 | SC | MD | Clinical Neuropsychologist |
| 3561 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1013176882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 JOHNSTON ST",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297303579",
"telephone_number": "803-328-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 JOHNSTON ST",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297303579",
"telephone_number": "803-328-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "VICTORIA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "SC",
"license": "1078",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3561",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SC",
"license": "1078",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.