Evan Mehlman PHD P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0007206 Issued in FL

Legal business name

EVAN MEHLMAN PHD P.A.

Practice address

1011 Ives Dairy Rd
BLDG 2 Suite 208
North Miami Beach, FL 33179-2536

Phone

(305) 653-0098

Fax

(305) 654-4412

NPI assigned

Feb 25, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Evan Adam Mehlman, PHD

Title

President

Phone

(305) 653-0098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1326345448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 IVES DAIRY RD",
            "address_2": "BLDG 2 SUITE 208",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792536",
            "telephone_number": "305-653-0098",
            "fax_number": "305-654-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 IVES DAIRY RD",
            "address_2": "BLDG 2 SUITE 208",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792536",
            "telephone_number": "305-653-0098",
            "fax_number": "305-654-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN MEHLMAN PHD P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "MEHLMAN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-653-0098",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0007206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.