Evan Hewitt McGown

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

117784 Issued in CA

Practice address

1190 S Bascom Ave
San Jose, CA 95128-3545

Phone

(706) 614-2612

NPI assigned

Oct 18, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1043761638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MOLINA DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950609457",
            "telephone_number": "706-614-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283545",
            "telephone_number": "706-614-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWN",
        "first_name": "EVAN",
        "middle_name": "HEWITT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "PCCI 3264",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McGinnis Chiropractic Professional Corporation
• Tina Marie McGinnis, D.C.
• Laurie McGoldrick, ED.S., M.ED., NCSP
• Robin McGovern
• Kourtney McGowan, CPPD
• April McGrath
• Joseph McGrath
• Sabrina McGrath, CMT
• Thomas J McGrath, O.D.
• Rebecca McGuire, OTRL

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.