NPIMap

Organization Active NPI

Lewis and Evans LLC

  • Clinical Psychologist
  • Dublin, OH
National Provider Identifier
1407310576
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LEWIS AND EVANS LLC
Practice address
6457 Reflections Dr Ste 120
Dublin, OH 43017-2352
Phone
(614) 792-1108
NPI assigned
Jan 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Mary Lewis, PHDNPI 1124030994
Title
President
Phone
(614) 766-0218

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

6457 Reflections Dr Ste 120
Dublin, OH 43017-2352

Mailing address

6457 Reflections Dr Ste 120
Dublin, OH 43017-2352
Phone (614) 792-1108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190225000445 OH Part B Supplier - Clinic/Group Practice 1557600251 Receives reassigned benefits from 7 practitioners
Practice locations: Beavercreek, OH; West Carrollton, OH; Moraine, OH; Kettering, OH; Dublin, OH; Columbus, OH; Centerville, OH

National Provider Directory

National Provider Directory

Locations

3000 Bethel Rd
Columbus, OH 43220
Phone (614) 889-6320

6457 Reflections Dr
Ste 120
Dublin, OH 43017
Phone (614) 226-2172

115 W Walnut St
Oxford, OH 45056
Phone (513) 523-6698

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1407310576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6457 REFLECTIONS DR STE 120",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172352",
            "telephone_number": "614-792-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6457 REFLECTIONS DR STE 120",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172352",
            "telephone_number": "614-792-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS AND EVANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-766-0218",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.