John Michael Evosevich, PH.D. LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC33118 Issued in CA

Practice address

3819 1St Ave Unit 208
San Diego, CA 92103-3082

Phone

(760) 413-1951

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 24, 2025 through Mar 24, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Lifemark Marriage & Family Therapy Corporation

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1619690401
  NPD Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1619902434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 1ST AVE UNIT 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033082",
            "telephone_number": "604-131-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 1ST AVE UNIT 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033082",
            "telephone_number": "760-413-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVOSEVICH",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D. LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC33118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everwell Medical LLC
• Everyday Sports Performance & Physical Therapy
• Evolving Paths Therapy Marriage & Family Counseling Corporation
• Kathie Renee Evon
• Darryl K Evora, MD
• Katherine Louise Ewalt, MS, ATC, HHP, NCTM
• Shayda Ewalt, LMFT
• James Edwin Ewen
• Eirena Elizabeth Ewert
• James Walter Ewing, PH.D.

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.