Marsha Evans

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

Practice address

100 Prison Rd
Represa, CA 95671-3000

Phone

(860) 655-3753

NPI assigned

Sep 27, 2018

Last updated

Sep 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1043795875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 CARMICHAEL WAY APT 36",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956085371",
            "telephone_number": "860-655-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRISON RD",
            "city": "REPRESA",
            "state": "CA",
            "postal_code": "956713000",
            "telephone_number": "860-655-3753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 Carmichael Way Apt 36",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956085371",
            "country_code": "US",
            "telephone_number": "860-655-3753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MARSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Susan Diciro, PSY.D.
• Jennifer Dominguez
• Grace Louise Downing, M.D.
• John Phillip Dunlap Jr., D.O.
• Shannon Taylor Egan-Mooney, PSYD
• Dennis Rulon Fairbourn, DMD
• Susanna Farina, PHD
• Anna Fautz
• Bennett Feinberg, MD
• Ruth S Forde, M.D.

• Forensic Psychologist in Represa, CA
• Providers in Represa, CA by specialty
• Forensic Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.