Evelyn Athena Kolidas, PH.D.

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

022607 Issued in NY

Practice address

947 80TH St
Brooklyn, NY 11228-2617

Phone

(646) 483-7050

NPI assigned

Apr 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219
  NPD
• Knapp Street Psychiatry, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1043248776
  NPD
• Christopher Dennis MD PLLC

  • Psychiatry Physician
  • Johns Creek, GA
  • NPI 1588090229
  NPD

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1124516448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 80TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282617",
            "telephone_number": "646-483-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 80TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282617",
            "telephone_number": "646-483-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLIDAS",
        "first_name": "EVELYN",
        "middle_name": "ATHENA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NY",
            "license": "022607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vadim Kolesnikov, M.D.
• Tatyana Kolesnikova, RN., NP
• Lyubomyra Kolesnyk
• Rita Kolessova
• Pericles Kolias
• Zorina Sarah Kolik
• Susan Renee Kolin-Liebman, D.M.D.
• Robert Kolins
• Nikki Koll
• Srinivas Kolla, MD

• Health Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Health Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.