Dr. Brad B Evans, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33721 Issued in TX

Legal business name

DR. BRAD B EVANS, PLLC

Practice address

4201 W Stan Schlueter Loop
Suite G
Killeen, TX 76549-4782

Phone

(254) 252-3748

NPI assigned

Oct 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Brad B Evans Sr., PSYD

Title

Owner

Phone

(254) 252-3748

Specialties & licenses 1

Addresses

Other names 1

• Pathfinders Counseling and Consulting Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard R Boone, PH.D.

  • Clinical Psychologist
  • Killeen, TX
  • NPI 1669665923
  NPD (past)

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1114478690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W STAN SCHLUETER LOOP",
            "address_2": "SUITE G",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494782",
            "telephone_number": "254-252-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W STAN SCHLUETER LOOP",
            "address_2": "SUITE G",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494782",
            "telephone_number": "254-252-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRAD B EVANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-252-3748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathfinders Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christie Yulunda Douet, LCSW
• Jaderick Lajorge Douglas
• Ramie Anita Dowell, PA-C
• Lynn Yvonne Dowling, MS, LPC
• Ashley Leondria Downing, RBT
• Dr. Charles R. Sturtevant, O.D.
• Dr. Smilee-Killeen, LLC
• Allison Drake
• Jaclyn Drake
• Drift Away Therapeutic Massage LLC

• Clinical Psychologist in Killeen, TX
• Providers in Killeen, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.