Evelyn Burrell, PSY. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-004993 Issued in AZ

Practice address

1930 S Alma School Rd Ste B120
Mesa, AZ 85210-3051

Phone

(602) 327-4476

NPI assigned

Jul 30, 2018

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Burrell Psychological Services, PLLC

  • Psychologist
  • Phoenix, AZ
  • NPI 1598340986
  NPD
• Sentience Psycological Services PLLC

  • Psychologist
  • Phoenix, AZ
  • NPI 1487999371
  NPD (past)
• Sentience, PLLC

  • Counseling Psychologist
  • Phoenix, AZ
  • NPI 1144730086
  NPD (past)

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1417435736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 N 33RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185004",
            "telephone_number": "602-327-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE B120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103051",
            "telephone_number": "602-327-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "PSY-004993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Burnett, LASAC
• Rita Marie Burnette
• Jason Burns, DDS
• Nicole Christine Burns, CRNA
• Andrew David Burrell, D.O.
• Linda J. Burrier, LPC
• Blythe Burton-Teed, N.M.D.
• Allyson Havig Burton, SLPA
• Justin Kitaro Burton, CRNA
• Ronald C Burton, MD

• Psychologist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.