Active NPI
James William Evans, PHD
- Psychologist
- Sharpsville, PA
National Provider Identifier
1649322173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS003095L
- Practice address
- 2376 Lake Rd
Sharpsville, PA 16150-3030 - Phone
- (724) 698-5924
- Fax
- (724) 962-1761
- NPI assigned
- Jan 17, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS003095L | PA | Primary |
Addresses
Primary practice location
2376 Lake Rd
Sharpsville, PA 16150-3030
Mailing address
2376 Lake Rd
Sharpsville, PA 16150-3030
Phone (724) 962-1761
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS003095L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456963200000",
"number": "1649322173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2376 LAKE RD",
"city": "SHARPSVILLE",
"state": "PA",
"postal_code": "161503030",
"telephone_number": "724-962-1761",
"fax_number": "724-962-1761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2376 LAKE RD",
"city": "SHARPSVILLE",
"state": "PA",
"postal_code": "161503030",
"telephone_number": "724-698-5924",
"fax_number": "724-962-1761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2016-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS003095L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sharpsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.