Christine Louise Evans, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY18533 Issued in CA

Practice address

2680 Bayshore Pkwy
Suite 101
Mountain View, CA 94043-1022

Phone

(650) 314-0193

NPI assigned

Jan 25, 2007

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1194871095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 41ST AVE",
            "address_2": "SUITE E",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103930",
            "telephone_number": "831-818-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 BAYSHORE PKWY",
            "address_2": "SUITE 101",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431022",
            "telephone_number": "650-314-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CHRISTINE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY18533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia-Jay Justo Esposo, NP, PA
• Estoril Holdings LLC
• Ethel Rios, DDS, Inc.
• Naveed Ettefagh
• Bailee Brianna Evans
• Evergreen Psychotherapy Apc
• Veronica Grace Falcao, LM, MS
• Falco Medical PC
• William Fan, FNP-C
• Leehsin Billy Fang, D.P.M.

• Psychologist in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.