Carrie K. Evenden, Psy.D. Psychotherapy Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CARRIE K. EVENDEN, PSY.D. PSYCHOTHERAPY CORPORATION

Practice address

2441 Fillmore St
San Francisco, CA 94115-1814

Phone

(415) 793-9643

NPI assigned

Aug 3, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Carrie Kristen Evenden, PSY.D.

Title

Clinical Psychologist

Phone

(415) 793-9643

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie Kristen Evenden Dvornik, PSY.D.

  • Clinical Psychologist
  • San Francisco, CA
  • NPI 1285905232
  Medicare reassignment NPD

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1376217307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 FILLMORE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151814",
            "telephone_number": "415-793-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 FILLMORE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151814",
            "telephone_number": "415-793-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE K. EVENDEN, PSY.D. PSYCHOTHERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "EVENDEN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "KRISTEN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "415-793-9643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herman Carrera, ACSW
• Rosario Carrera
• Robert Alan Carrere, PH.D., ABPP
• Denise Elisabeth Carret, CADC II
• Maria Carretero
• Emmanuel Carrie Ma
• Fredricka Marie Carrie Jr.
• Arturo Carrillo Sr.
• Claudia Carrillo
• Erica Carrillo

• Community/Behavioral Health Agency in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.

Verify at the official NPI Registry.