Active NPI
Evelyn Flores
- Psychologist
- Adrian, MI
National Provider Identifier
1619576006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6362008891
- Practice address
- 1040 S Winter St
Adrian, MI 49221-3876 - Phone
- (517) 264-0176
- NPI assigned
- Oct 18, 2020
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6362008891 | Primary |
Addresses
Primary practice location
1040 S Winter St
Adrian, MI 49221-3876
Mailing address
113 N Democratic St
Tecumseh, MI 49286-1313
Phone (734) 664-4773
Other practice location 1
1777 Axtell Dr Ste 100
Troy, MI 48084-4400
Phone (248) 787-0855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1619576006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 N DEMOCRATIC ST",
"city": "TECUMSEH",
"state": "MI",
"postal_code": "492861313",
"telephone_number": "734-664-4773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 S WINTER ST",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492213876",
"telephone_number": "517-264-0176"
}
],
"practiceLocations": [
{
"address_1": "1777 Axtell Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480844400",
"country_code": "US",
"telephone_number": "248-787-0855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLORES",
"first_name": "EVELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-18",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": "6362008891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.