Active NPI
Hannah Imogene Evans, MS, PH.D., MPA
- Clinical Psychologist
- Parker, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 415
- Practice address
- 9398 Crown Crest Blvd
Parker, CO 80138-8573 - Phone
- (888) 948-6789
- Fax
- (877) 345-3501
- NPI assigned
- Mar 8, 2013
- Last updated
- Oct 5, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 415 | CO | |
| Clinical Psychologist | 103TC0700X | 415 | CO | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 415 | CO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| 3638 E Euclid Ave LLC | Past | Accepting new patients | |
| On Site Dermatology of Colorado PLLC | Past | Accepting new patients | |
| Inpatient Consultants of Colorado PC | 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) 777-3433
Networks
- KY PPO
- CO HMO
- TN PPO C-SNP
- KY PPO C-SNP
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- CO HMO D-SNP
- NM HMO C-SNP
- TN PPO
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Assisted Living Facility
- Centennial, CO
- NPI 1063385607
-
- Podiatrist
- Englewood, CO
- NPI 1871892505
-
- Dermatology Physician
- Salida, CO
- NPI 1073856050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1013258581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KALISA WAY",
"address_2": "STE 101",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523508",
"telephone_number": "888-948-6789",
"fax_number": "877-345-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9398 CROWN CREST BLVD",
"city": "PARKER",
"state": "CO",
"postal_code": "801388573",
"telephone_number": "888-948-6789",
"fax_number": "877-345-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "HANNAH",
"middle_name": "IMOGENE",
"name_prefix": "Dr.",
"credential": "MS, PH.D., MPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-08",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "415",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.