Hannah Imogene Evans, MS, PH.D., MPA
Individual provider Active NPI Clinical Psychologist · Parker, CO
NPI 1013258581 · NPPES record last updated Oct 5, 2021
Key facts
- NPI
- 1013258581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 415 (CO)
- Practice address
- 9398 Crown Crest Blvd
Parker, CO 80138-8573 - Phone
- (888) 948-6789
- Fax
- (877) 345-3501
- NPI assigned
- Mar 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sondermind Provider Network LLC
Practice addresses (Care Compare)
720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279
999 Waterside Dr
Suite 2525
Norfolk, VA 23510-3316
Phone (866) 630-0966
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131210001964 | CO | Practitioner - Clinical Psychologist | 3870720295 |
Reassigns benefits to 1 organization Practice locations: Aurora, CO; Parker, CO |
| I20221101000289 | VA | Practitioner - Clinical Psychologist | 3870720295 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 415 | CO | MD | Marriage & Family Therapist |
Practice roles (4 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current |
Accepting new patients |
| Inpatient Consultants of Colorado PC | Past | Accepting new patients | |
| On Site Dermatology of Colorado PLLC | Past | Accepting new patients | |
| 3638 E Euclid Ave LLC | Past |
Accepting new patients |
Locations
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787
Networks
- CO HMO D-SNP
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
- NM HMO C-SNP
- TN PPO
- KY PPO C-SNP
- CO HMO
- KY PPO
- TN PPO C-SNP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 415 | CO | |
| Clinical Psychologist | 103TC0700X | 415 | CO | Yes |
Addresses
Primary practice location
9398 Crown Crest Blvd
Parker, CO 80138-8573
Mailing address
1 Kalisa Way
Ste 101
Paramus, NJ 07652-3508
Phone (888) 948-6789
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY.000415 | Other | CO | PROFESSIONAL LICENSE |
Other providers in Parker, CO
- Katelyn Etienne
- Wendy C Ettles
- Martha K Euwana
- Cassandra Evans
- Delinda Kathleen Evans
- Russell D Evans
- Angela S Evanson
- Tori Everhart
- Christina Marie Evers
- Evolve Therapy Center LLC
All providers in Parker, CO · Clinical Psychologist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.