Shenell Evans, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

020783 Issued in NY

Practice address

26 Court St Ste 409
Brooklyn, NY 11242-1134

Phone

(929) 396-1184

Fax

(646) 652-6134

NPI assigned

Nov 10, 2014

Last updated

Apr 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kau HospitalGroup PAC ID 7416945548, 138 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kau Hospital

  • Rural Health Clinic/Center
  • Pahala, HI
  • NPI 1144304338
  Medicare reassignment Care Compare group NPD
• Resilience Psychological Services PLLC

  • Psychologist
  • Brooklyn, NY
  • NPI 1568978054
  NPD Authorized official
• Kau Hospital

  dba East Hawaii Health Clinic at Puna Kai

  • Rural Health Clinic/Center
  • Pahoa, HI
  • NPI 1285450163
  NPD
• Kau Hospital

  • Critical Access Hospital
  • Pahala, HI
  • NPI 1982276127
  NPD

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1255737821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 409",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421134",
            "telephone_number": "845-287-5705",
            "fax_number": "646-652-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 409",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421134",
            "telephone_number": "929-396-1184",
            "fax_number": "646-652-6134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Kamani Street",
            "address_purpose": "LOCATION",
            "city": "Pahala",
            "state": "HI",
            "postal_code": "96777",
            "country_code": "US",
            "telephone_number": "180-893-2420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SHENELL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-2197-0",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Karin Evans
• Logan Dean Evans, LCSW
• Rondai Evans, MD
• Samuel Lichtman Evans, MD
• Shanique Evans, NP
• Susan Evans
• Tanisha Elzeatha Evans
• Tiffany Evans
• Timothy Evans, PEER SPECIALIST
• Wendell Margo Maurice Evans, LCSW-R

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.