Andrea Lee Bevan, PHD
Individual provider Active NPI Clinical Psychologist · Henderson, NV
NPI 1366084311 · NPPES record last updated Jun 24, 2026
Key facts
- NPI
- 1366084311
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY0007061 (CO)
- Practice address
- 1070 W Horizon Ridge Pkwy Ste 210
Henderson, NV 89012-6020 - Phone
- (702) 405-0904
- NPI assigned
- Oct 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2518 Anthem Village Dr
Suite 103
Henderson, NV 89052-5554
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200917002868 | NV | Practitioner - Clinical Psychologist | 8224456579 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055 | NV | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY0007061 | CO | Yes |
| Clinical Psychologist | 103TC0700X | PY0971 | NV |
Addresses
Primary practice location
1070 W Horizon Ridge Pkwy Ste 210
Henderson, NV 89012-6020
Mailing address
2518 Anthem Village Dr Ste 103
Henderson, NV 89052-5554
Phone (702) 405-0904
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All providers in Henderson, NV · Clinical Psychologist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.