Active NPI
Shelby Evans, PH.D.
- Clinical Psychologist
- Wichita, KS
National Provider Identifier
1518144583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1921
- Practice address
- 8100 E 22ND St N
Ste 1600-B
Wichita, KS 67226-2388 - Phone
- (316) 201-6462
- Fax
- (316) 201-6428
- NPI assigned
- Jan 22, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1921 | KS | Primary |
| Behavior Analyst | 103K00000X | 1073513 |
Addresses
Primary practice location
8100 E 22ND St N
Ste 1600-B
Wichita, KS 67226-2388
Mailing address
8100 E 22ND St N
Ste 1600-B
Wichita, KS 67226-2388
Phone (316) 201-6462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110630000382 | KS | Practitioner - Clinical Psychologist | 4082892682 | Practice locations: Wichita, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2024 N Woodlawn St
Suite 402
Wichita, KS 67208-1879
Phone (316) 201-6424
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1921 | KS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1518144583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 E 22ND ST N",
"address_2": "STE 1600-B",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262388",
"telephone_number": "316-201-6462",
"fax_number": "316-201-6428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 E 22ND ST N",
"address_2": "STE 1600-B",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262388",
"telephone_number": "316-201-6462",
"fax_number": "316-201-6428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "SHELBY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "1921",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1073513",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.