Evidence-Based Psychotherapy, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

EVIDENCE-BASED PSYCHOTHERAPY, PLLC

Practice address

1 Boars Head LN Ste B-6
Charlottesville, VA 22903-4681

Phone

(434) 230-2233

NPI assigned

Oct 9, 2023

Organization subpart

No

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

Authorized official

Name

Elena Hontoria TuerkNPI 1356645915

Title

Member

Phone

(434) 230-2233

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elena Hontoria Tuerk, PHD

  • Clinical Psychologist
  • Charlottesville, VA
  • NPI 1356645915
  NPD Authorized official

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1689455453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOARS HEAD LN STE B-6",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034681",
            "telephone_number": "434-230-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOARS HEAD LN STE B-6",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034681",
            "telephone_number": "434-230-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVIDENCE-BASED PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "TUERK",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "HONTORIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "434-230-2233"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356645915",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Ryan Evans, AG-ACNP
• William S. Evans, M.D.
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• Margaux Ciera Everingham
• Kathleen F Eviza-Ford, MSN, RN-BC, RN
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• Charlene G. Exline, FNP
• Expressride LLC

• Clinical Psychologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.