Active NPI
Karen A Evans, PH.D.
- Clinical Psychologist
- Dayton, OH
National Provider Identifier
1508877358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5896
- Practice address
- 7061 Corporate Way Ste 210
Dayton, OH 45459-4273 - Phone
- (937) 307-5949
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5896 | OH | Primary |
Addresses
Primary practice location
7061 Corporate Way Ste 210
Dayton, OH 45459-4273
Mailing address
6091 Single Tree LN
Dayton, OH 45459-2423
Phone (937) 307-5949
Other practice location 1
6465 Reflections Dr
Suite 110
Dublin, OH 43017
Phone (614) 792-1108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2404633 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen a Evans PHD LLC | Current | Accepting new patients |
Locations
1120 Dunaway St
Miamisburg, OH 45342
Phone (937) 307-5949
Organizations & group practices 1
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.
-
- Psychologist
- Dayton, OH
- NPI 1659858157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1508877358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6091 SINGLE TREE LN",
"city": "DAYTON",
"state": "OH",
"postal_code": "454592423",
"telephone_number": "937-307-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7061 CORPORATE WAY STE 210",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594273",
"telephone_number": "937-307-5949"
}
],
"practiceLocations": [
{
"address_1": "6465 Reflections Dr",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "43017",
"country_code": "US",
"telephone_number": "614-792-1108",
"fax_number": "614-792-0018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "KAREN",
"middle_name": "A",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2404633",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.