Individual provider Active NPI

Evelyn Theresa Alexander-Davis

  • Psychologist
  • Indianapolis, IN
National Provider Identifier
1275933376
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
3846 Carrollton Ave
Indianapolis, IN 46205-2751
Phone
(317) 833-7502
NPI assigned
Aug 26, 2014
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3846 Carrollton Ave
Indianapolis, IN 46205-2751

Mailing address

3846 Carrollton Ave
Indianapolis, IN 46205-2751
Phone (317) 833-7502

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2014.

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1275933376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3846 CARROLLTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052751",
            "telephone_number": "317-833-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3846 CARROLLTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052751",
            "telephone_number": "317-833-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER-DAVIS",
        "first_name": "EVELYN",
        "middle_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.