Evan Adam Mehlman, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7206 Issued in FL

Practice address

2883 Executive Park Dr Ste 102
Weston, FL 33331-3662

Phone

(954) 684-6735

Fax

(954) 384-1163

NPI assigned

Jun 12, 2007

Last updated

Dec 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evan a Mehlman, PA

  dba Weston Family Psychology

  • Clinical Psychologist
  • Weston, FL
  • NPI 1346606399
  NPD (past) Authorized official
• Evan a Mehlman, PA

  dba Evan A. Mehlman, Psy.D. and Associates

  • Clinical Psychologist
  • Weston, FL
  • NPI 1477899516
  NPD (past) Authorized official

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1407050701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR STE 102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "954-684-6735",
            "fax_number": "954-384-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR STE 102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "954-684-6735",
            "fax_number": "954-384-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLMAN",
        "first_name": "EVAN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medstation Primary Clinic LLC
• Medultra Supplies, LLC
• Natasha Mehandru, M.D.
• Mehlman PA Psychological Services
• Deena L Mehlman, LCSW
• Jinesh Mehta, M.D.
• Urvi Mehta, PTA
• Mejia Physical Therapy and Wellness, LLC
• Luis C Mejia, P.T.
• Mejorestar-Betterbeing LLC

• Clinical Psychologist in Weston, FL
• Providers in Weston, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.