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

Last updated

Aug 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

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.

• Sara Boilen Psy D PLLC

  dba Sweetgrass Psychological Services

  • 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

  dba Park Ridge Psychological Services

  • Clinical Psychologist
  • Casper, WY
  • NPI 1851624662
  NPD (past)

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

{
    "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 (Alpine Family Dental)
• Madison L Evans, MSW, SWLC
• Mary Ann Evans, MD
• Edward V. Eve Jr., PA-C
• Evergreen Clinic PC (Evergreen Clinic)
• Evergreen Fire District

• Clinical Psychologist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• 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.