Organization Active NPI

Jason Evan MD PA

  • Clinical Psychologist
  • Harlingen, TX
National Provider Identifier
1487972220
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
M9268 Issued in TX
Legal business name
JASON EVAN MD PA
Practice address
3101 S 77 Sunshine Strip #a
Harlingen, TX 78550-8904
Phone
(956) 778-4486
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Dr. Jason Evans, MD
Title
Owner
Phone
(956) 778-4486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X M9268 TX Primary

Addresses

Primary practice location

3101 S 77 Sunshine Strip #a
Harlingen, TX 78550-8904

Mailing address

3101 S 77 Sunshine Strip #a
Harlingen, TX 78550-8904
Phone (956) 778-4486

National Provider Directory

National Provider Directory

Locations

604 S 77 Sunshine Strip
Ste B
Harlingen, TX 78550
Phone (956) 778-4486

3101 S 77 Sunshine Strip
#B
Harlingen, TX 78550
Phone (956) 421-2293

3101 S 77 Sunshine Strip
#A
Harlingen, TX 78550
Phone (956) 423-1050

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": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1487972220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 S 77 SUNSHINE STRIP #A",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508904",
            "telephone_number": "956-778-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S 77 SUNSHINE STRIP #A",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508904",
            "telephone_number": "956-778-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON EVAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-778-4486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "M9268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.