Katrina Kit Evans, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2572 Issued in MT

Practice address

1075 N Meridian Rd Ste 200
Kalispell, MT 59901-3567

Phone

(406) 351-4052

NPI assigned

Feb 12, 2018

Sex

Female

Sole proprietor

No

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.

• Sara Boilen, PSYD, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Whitefish, MT
  • NPI 1821692203
  NPD (past)
• Frontier Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Casper, WY
  • NPI 1295220242
  NPD (past)
• Park Ridge Behavioral Healthcare, LLC

  • Clinical Psychologist
  • Casper, WY
  • NPI 1851624662

  Clinical

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2021 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 3, 2020.

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1447759873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10986",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599043986",
            "telephone_number": "406-351-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 N MERIDIAN RD STE 200",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013567",
            "telephone_number": "406-351-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KATRINA",
        "middle_name": "KIT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "647",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MT",
            "license": "2572",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "2572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Erickson, O.D.
• Maren Erpelding, NP
• Roy Scott Escobar, MD
• Jeffrey S. Eshleman, M.D.
• Evan G Olson DDS PC
• Madison L Evans, MSW, SWLC
• Mary Ann Evans, MD
• Stephen Evans, M.D.
• Edward V. Eve Jr., PA-C
• Evergreen Clinic PC

• All providers in Kalispell, MT
• Clinical Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.