Active NPI
Thomas Victor Evans, MAE, EDS, NCSP
- School Psychologist
- Jonesville, VA
National Provider Identifier
1639807019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- PPS-0606642
- Practice address
- Lee County Public Schools
155 Vo Tech Drive
Jonesville, VA 24263 - Phone
- (276) 346-2107
- NPI assigned
- Aug 12, 2022
- Last updated
- Aug 12, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | PPS-0606642 | VA | Primary |
Addresses
Primary practice location
Lee County Public Schools
155 Vo Tech Drive
Jonesville, VA 24263
Mailing address
1454 Hudson Rd
Glenburn, ME 04401-1710
Phone (207) 266-9193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PPS-0606642 | VA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1639807019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1454 HUDSON RD",
"city": "GLENBURN",
"state": "ME",
"postal_code": "044011710",
"telephone_number": "207-266-9193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LEE COUNTY PUBLIC SCHOOLS",
"address_2": "155 VO TECH DRIVE",
"city": "JONESVILLE",
"state": "VA",
"postal_code": "24263",
"telephone_number": "276-346-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "THOMAS",
"middle_name": "VICTOR",
"name_prefix": "Mr.",
"credential": "MAE, EDS, NCSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-12",
"last_updated": "2022-08-12",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": "PPS-0606642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.