Karen a Evans PHD LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5896 Issued in OH

Legal business name

KAREN A EVANS PHD LLC

Practice address

7061 Corporate Way Ste 110
Dayton, OH 45459-4244

Phone

(937) 307-5949

NPI assigned

Jul 26, 2018

Last updated

Feb 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Karen A Evans, PHDNPI 1508877358

Title

Psychologist

Phone

(937) 307-5949

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen A Evans, PH.D.

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1508877358
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1659858157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6091 SINGLE TREE LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592423",
            "telephone_number": "937-307-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7061 CORPORATE WAY STE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594244",
            "telephone_number": "937-307-5949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Dunaway St",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453423839",
            "country_code": "US",
            "telephone_number": "937-307-5949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8100 Clyo Rd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454582720",
            "country_code": "US",
            "telephone_number": "937-307-5949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAREN A EVANS PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "937-307-5949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0333760",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Mantyla Karani, MD
• Holly Dawn Karban, MS, LPC
• Azar Kardan, MD
• Javad Kardan, M.D.
• Chelsea Karel, LSW
• Karen Dunson Health Care Solutions LLC (KD Healthcare Solutions, LLC)
• Karen M Ridgway (Ridgway Pharmacy)
• Artur Karimov, MD
• Mona Karimzadeh
• Hope Elizabeth Karnes, M.D., PH.D.

• Psychologist in Dayton, OH
• Providers in Dayton, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.