Evan Espinosa, PSY. D, PSYCHOLOGIST

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-004977 Issued in AZ

Practice address

3303 E Baseline Rd Ste 111
Gilbert, AZ 85234-2739

Phone

(801) 655-5450

Fax

(385) 225-9327

NPI assigned

Nov 24, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 11

Addresses

Other names 1

• Dr. Evan Russell Espinosa Other name

Medicare fee-for-service enrollment

Enrolled in NM, AZ, WA, UT, ID5 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 5

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Recovia LLCGroup PAC ID 1456629211, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO
• UT PPO D-SNP

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

• Recovia LLC

  • Specialist
  • Phoenix, AZ
  • NPI 1427421098
  Medicare reassignment Care Compare group NPD
• Meadowbrook Counseling of Arizona, LLC

  dba Meadowbrook Counseling of Arizona

  • Clinical Social Worker
  • Gilbert, AZ
  • NPI 1669251120

  Counseling

  Medicare reassignment NPD
• Meadowbrook Counseling of Idaho, LLC

  dba Meadowbrook Counseling of Idaho

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1023889839

  Counseling

  Medicare reassignment NPD
• Meadowbrook Counseling of Utah LLC

  • Mental Health Counselor
  • Orem, UT
  • NPI 1225619737

  Counseling

  Medicare reassignment NPD
• Meadowbrook Counseling of Washington, LLC

  dba Meadowbrook Counseling of Washington

  • Clinical Social Worker
  • Bothell, WA
  • NPI 1467230284

  Counseling

  Medicare reassignment NPD
• Presbyterian Healthcare Services

  dba Presbyterian Medical Group

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354
  Medicare reassignment NPD
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD
• Recovia LLC

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
  • NPI 1386313864
  NPD (past)
• Recovia LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Phoenix, AZ
  • NPI 1568139616

  Clinical

  NPD (past)
• Benjamin Healthcare

  dba Crossroads Hospice Vallejo

  • Community Based Hospice Care Agency
  • Vallejo, CA
  • NPI 1336898337
  NPD (past)
• Meadowbrook Counseling of Colorado, LLC

  dba Meadowbrook Counseling of Colorado

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1598529273

  Counseling

  NPD (past)
• Meadowbrook Counseling of Florida, LLC

  dba Meadowbrook Counseling of Florida

  • Clinical Social Worker
  • Maitland, FL
  • NPI 1962266635

  Counseling

  NPD (past)

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

{
    "created_epoch": "1511481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1134633498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 N 1200 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572449",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD STE 111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342739",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1433 N 1200 W",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840572449",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1469 N 1200 W",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840572449",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPINOSA",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "PSY. D, PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-24",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "21343",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "21343",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "21343",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "21343",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "PSY1485",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "21343",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "21343",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "21343",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "21343",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "21343",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-004977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVAN",
            "last_name": "ESPINOSA",
            "middle_name": "RUSSELL",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Krystal Escajeda
• Tracey Dell Escalante, AGNP
• Jeranya Escalera, RBT
• Rosy Renteria Escamilla, SA-C
• Stacie Eskew, O.D.
• Jacquelyn Espinoza, PT
• Tracy Esposito
• Alyssa M Esquer
• Anna Min Esquibel
• Jessica Emily Esquibel

• Clinical Psychologist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.