Jessica Evelson, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

ME 114713 Issued in FL

Practice address

5550 Glades Rd Ste 305-16
Boca Raton, FL 33431-7205

Phone

(561) 668-4525

Fax

(561) 437-8263

NPI assigned

Aug 24, 2007

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

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Health Systems of Tennessee

  • Psychiatry Physician
  • Nunnelly, TN
  • NPI 1831719442
  NPD (past)

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1053504845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19156 SKYRIDGE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986212",
            "telephone_number": "347-658-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 GLADES RD STE 305-16",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317205",
            "telephone_number": "561-668-4525",
            "fax_number": "561-437-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVELSON",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 114713",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME 114713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia V Evans
• Michael Evans, LCSW
• Richard Evans, P.T.
• Tamara Marie Evans, MS, LMHC, NCC
• Stanley Evariste, CRT, RBT
• Evergreen Homecare at Boca
• Evertrust Medical Group
• Evolution Rehab Group LLC
• Evolution Rehab, LLC
• Eric J Ewald, M.D

• Child & Adolescent Psychiatry Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.