Individual provider Active NPI

Evan Allan Knapp, PSY.D.

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1205922101
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
24172 Issued in TX
Practice address
3417 Gaston Ave Ste 815
Dallas, TX 75246-2034
Phone
(214) 824-8878
Fax
(214) 591-5949
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 24172 TX
Clinical Child & Adolescent Psychologist 103TC2200X 24172 TX
Home Health Agency 251E00000X 24172 TX
Clinical Psychologist 103TC0700X 24172 TX Primary

Addresses

Primary practice location

3417 Gaston Ave Ste 815
Dallas, TX 75246-2034

Mailing address

3417 Gaston Ave Ste 815
Dallas, TX 75246-2034
Phone (214) 824-8878

Other identifiers 2

IdentifierTypeStateIssuer
098447805MedicaidTX
149565702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105001760 TX Practitioner - Psychologist Billing Independently 9436051034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3417 Gaston Ave
Suite 815
Dallas, TX 75246-2022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
24172TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Barry J Fenton M.D., P.a. Clinical CurrentSince Aug 17, 2025 Accepting new patients
Texas Family Psychology Associates, PC Clinical CurrentSince Feb 19, 2002 Accepting new patients

Locations

3417 Gaston Ave
Ste 815
Dallas, TX 75246
Phone (214) 520-7575

3710 Rawlins St
Ste 1370
Dallas, TX 75219
Phone (214) 207-4163

2183 Buckingham Rd
#435
Richardson, TX 75081
Phone (214) 349-8878

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1205922101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 GASTON AVE STE 815",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462034",
            "telephone_number": "214-824-8878",
            "fax_number": "214-291-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 GASTON AVE STE 815",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462034",
            "telephone_number": "214-824-8878",
            "fax_number": "214-591-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "EVAN",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TX",
            "license": "24172",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "24172",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "24172",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "24172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098447805",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149565702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.