Active NPI
Stephanie Evans, M.A.
- School Psychologist
- Garden City, NY
National Provider Identifier
1306480470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 904597
- Practice address
- 300 Garden City PLZ Ste 350
Garden City, NY 11530-3358 - Phone
- (516) 747-9030
- NPI assigned
- Nov 1, 2019
- Last updated
- Nov 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 904597 | NY | Primary |
Addresses
Primary practice location
300 Garden City PLZ Ste 350
Garden City, NY 11530-3358
Mailing address
8 Comet LN
Massapequa, NY 11758-7828
Phone (516) 459-1370
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 904597 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1306480470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 COMET LN",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117587828",
"telephone_number": "516-459-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GARDEN CITY PLZ STE 350",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303358",
"telephone_number": "516-747-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "STEPHANIE",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-01",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "904597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.