Benjamin Evare, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

29833 Issued in CA

Practice address

185 Lake Dr
Boulder Creek, CA 95006-9281

Phone

(650) 223-5389

NPI assigned

Jan 29, 2018

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 6, 2022 through Jul 6, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Evare Psychology, a Professional Corporation

  • Clinical Psychologist
  • Boulder Creek, CA
  • NPI 1063340917
  NPD Authorized official
• The Wise Mind Institute, a Psychological Corporation

  • Psychologist
  • Redwood City, CA
  • NPI 1174990360
  NPD (past)

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1649778226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 LAKE DR",
            "city": "BOULDER CREEK",
            "state": "CA",
            "postal_code": "950069281",
            "telephone_number": "650-223-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 LAKE DR",
            "city": "BOULDER CREEK",
            "state": "CA",
            "postal_code": "950069281",
            "telephone_number": "650-223-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVARE",
        "first_name": "BENJAMIN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-29",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clary Sage Marriage and Family Therapy
• Dignity Health Medical Foundation
• Patricia Collins Dodge, PPS
• Joan Donato, LCSW
• Evare Psychology, a Professional Corporation
• Marty Fleischman, PHD, MAC
• Tiffanie Fontaine, SCHOOL PSYCH
• Amrita Ghumman, M.D.
• Sulmaan Hassan, DDS
• Cynthia Heim, PSYD

• Clinical Psychologist in Boulder Creek, CA
• Providers in Boulder Creek, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.