Active NPI
Evan a Mehlman, PA
- Clinical Psychologist
- Weston, FL
National Provider Identifier
1346606399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7206
- Legal business name
- EVAN A MEHLMAN, PA
- Practice address
- 2883 Executive Park Dr
Suite 102
Weston, FL 33331-3662 - Phone
- (954) 384-1117
- Fax
- (954) 384-1163
- NPI assigned
- Jan 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Evan Adam Mehlman, PSY.D.
- Title
- President
- Phone
- (954) 384-1117
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7206 | FL | Primary |
Addresses
Primary practice location
2883 Executive Park Dr
Suite 102
Weston, FL 33331-3662
Mailing address
2883 Executive Park Dr
Suite 102
Weston, FL 33331-3662
Phone (954) 384-1117
Other names 1
- Weston Family Psychology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Evan a Mehlman PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Weston, FL
- NPI 1477899516
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Plantation, FL
- NPI 1003012717
-
- Clinical Psychologist
- Weston, FL
- NPI 1407050701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452038400000",
"number": "1346606399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2883 EXECUTIVE PARK DR",
"address_2": "SUITE 102",
"city": "WESTON",
"state": "FL",
"postal_code": "333313662",
"telephone_number": "954-384-1117",
"fax_number": "954-384-1163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2883 EXECUTIVE PARK DR",
"address_2": "SUITE 102",
"city": "WESTON",
"state": "FL",
"postal_code": "333313662",
"telephone_number": "954-384-1117",
"fax_number": "954-384-1163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVAN A MEHLMAN, PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-06",
"last_updated": "2016-01-06",
"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": "954-384-1117",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Weston Family Psychology",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.