Laeeq Evered, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY18494 Issued in CA

Practice address

3050 Citrus Cir
Ste 202
Walnut Creek, CA 94598-2662

Phone

(925) 685-9463

Fax

(925) 685-9682

NPI assigned

Oct 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• John Lino Gasperoni, PH.D., Psychologist, P.C.

  • Psychologist
  • Walnut Creek, CA
  • NPI 1053603795
  NPD (past)

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1619050069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 DURANT AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041725",
            "telephone_number": "925-685-9463",
            "fax_number": "925-685-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 CITRUS CIR",
            "address_2": "STE 202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982662",
            "telephone_number": "925-685-9463",
            "fax_number": "925-685-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERED",
        "first_name": "LAEEQ",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18494",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY18494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Evans
• Isabella Evans
• Karen A. Evans, MD
• Reuel Evans, MFTI
• Susannah Kristine Evans, RBT
• Russell L Everest, M.D.
• Kayla Everhart
• Amy Evje
• Evolve Growth Initiatives LLC
• Exposure Therapy Designs - a LMFT Professional Corporation

• Clinical Neuropsychologist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.