Evan S Kogan, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS015611 Issued in PA

Practice address

810 Clairton Blvd Ste 500-600
Pittsburgh, PA 15236-5505

Phone

(412) 650-1100

Fax

(412) 650-1101

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jefferson Regional Medical Center 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Jefferson Regional Medical Center

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1891763249

  PA

  Medicare reassignment Care Compare group NPD
• Jefferson Regional Medical Center

  • Rehabilitation Hospital Unit
  • Clairton, PA
  • NPI 1013985126
  Care Compare group NPD
• Jefferson Regional Medical Center

  • Psychiatric Hospital Unit
  • Pittsburgh, PA
  • NPI 1720056138
  Care Compare group NPD
• Jefferson Regional Medical Center

  • General Acute Care Hospital
  • Clairton, PA
  • NPI 1578560504
  Care Compare group
• MHSP,Inc

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023049723

  Clinical

  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1194884593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD STE 500-600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152365505",
            "telephone_number": "412-650-1100",
            "fax_number": "412-650-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CLAIRTON BLVD STE 500-600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152365505",
            "telephone_number": "412-650-1100",
            "fax_number": "412-650-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGAN",
        "first_name": "EVAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekogan136325@direct.ahn.org",
            "affiliation": "N",
            "address_1": "810 Clairton Blvd Ste 500-600",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152365505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kayleigh Koepke
• Kevin Koett, DPT
• Sckyler Maricelle Koffi
• Julia Kofler
• Emma Louise Kofmehl, MD
• Jane Kogan, PHD
• Anna Koget, D.O.
• Valerie Jean Kogut, RD
• Elizabeth Sunyoung Koh, MD
• Courtney Taylor Kohan

• All providers in Pittsburgh, PA
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.