NPIMap

Organization Active NPI

Evan a Mehlman, PA

  • Clinical Psychologist
  • Weston, FL
National Provider Identifier
1477899516
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
FL PY 7206 Issued in FL
Legal business name
EVAN A MEHLMAN, PA
Practice address
2883 Executive Park Dr
Suite 102
Weston, FL 33331-3662
Phone
(954) 384-1117
Fax
(954) 384-1163
NPI assigned
Dec 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Dr. Evan Adam Mehlman, PSY.D.NPI 1407050701
Title
President
Phone
(954) 384-1117

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X FL PY 7206 FL Primary

Addresses

Primary practice location

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

Mailing address

2883 Executive Park Dr
Suite 102
Weston, FL 33331-3662
Phone (954) 384-1117

Other identifiers 1

IdentifierTypeStateIssuer
90122OtherFLBLUE CROSS BLUE SHIELD FLORIDA

Other names 1

  • Evan A. Mehlman, Psy.D. and Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Evan a Mehlman PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1477899516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR",
            "address_2": "SUITE 102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "954-384-1117",
            "fax_number": "954-384-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR",
            "address_2": "SUITE 102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "954-384-1117",
            "fax_number": "954-384-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN A MEHLMAN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "MEHLMAN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-384-1117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "FL PY 7206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FLORIDA",
            "identifier": "90122",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evan A. Mehlman, Psy.D. and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.