Individual provider Active NPI

Maria Evans, L.L.P.

  • Psychologist
  • Northville, MI
National Provider Identifier
1235536095
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301015927 Issued in MI
Practice address
42000 6 Mile Rd Ste 202
Northville, MI 48168-4374
Phone
(248) 283-3703
NPI assigned
Nov 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301015927 MI Primary

Addresses

Primary practice location

42000 6 Mile Rd Ste 202
Northville, MI 48168-4374

Mailing address

42000 6 Mile Rd Ste 202
Northville, MI 48168-4374
Phone (248) 283-3703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6301015927MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cme Counseling Services LLC Current Accepting new patients
Thriving Lives Inc. Psychologist CurrentSince Feb 2, 2020 Accepting new patients

Locations

42000 6 Mile Rd
Ste 202
Northville, MI 48168
Phone (248) 283-3703

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": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1235536095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42000 6 MILE RD STE 202",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684374",
            "telephone_number": "248-283-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42000 6 MILE RD STE 202",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684374",
            "telephone_number": "248-283-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MARIA",
        "credential": "L.L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301015927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.