Individual provider Active NPI

Mandy Lee Evans, M.D., M.P.H.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1760401582
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036115446 Issued in IL
Practice address
2300 N Childrens PLZ # 10
Department of Child and Adolescent Psychiatry
Chicago, IL 60614-3363
Phone
(773) 880-3256
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036115446 IL Primary

Addresses

Primary practice location

2300 N Childrens PLZ # 10
Department of Child and Adolescent Psychiatry
Chicago, IL 60614-3363

Mailing address

2736 N Marshfield Ave
#1
Chicago, IL 60614-1016
Phone (773) 880-3256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070222000598 IL Practitioner - Psychiatry 6608883780 Reassigns benefits to 2 organizations
I20240409004474 MT Practitioner - Psychiatry 6608883780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The ThresholdsGroup PAC ID 6204826647, 20 clinicians

Practice addresses (Care Compare)

4101 N Ravenswood Ave
Chicago, IL 60613-2193
Phone (773) 572-5480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036115446ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Mar 26, 2024 Accepting new patients
Billings Clinic CurrentSince Mar 26, 2024 Accepting new patients
The Thresholds Psychiatry CurrentSince Dec 9, 2022 Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 28, 2008 Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 28, 2008 Accepting new patients
The Thresholds CurrentSince Dec 9, 2022 Accepting new patients
Oak Forest Psychological Service Psychiatry Past Accepting new patients
Moataz Giurgius M D Inc Psychiatry Past Accepting new patients
The Thresholds Past Accepting new patients

Locations

2847 N Clark St
Chicago, IL 60657
Phone (773) 537-3011

9532 Eagle Way
Chicago, IL 60678

4101 N Ravenswood Ave
Chicago, IL 60613
Phone (773) 572-5434

115 N Parkside Ave
Chicago, IL 60644
Phone (773) 295-3060

734 W 47th St
Chicago, IL 60609
Phone (773) 536-8400

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Rm 5303
Evanston, IL 60201
Phone (847) 570-2540

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

202 N Schuyler Ave
Ste 205
Kankakee, IL 60901
Phone (815) 348-4409

2030 N Seminary Ave
Woodstock, IL 60098
Phone (815) 679-4604

1020 N 27th St
Billings, MT 59101
Phone (406) 238-2000

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760401582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 N MARSHFIELD AVE",
            "address_2": "#1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141016",
            "telephone_number": "773-880-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N CHILDRENS PLZ # 10",
            "address_2": "DEPARTMENT OF CHILD AND ADOLESCENT PSYCHIATRY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143363",
            "telephone_number": "773-880-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MANDY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036115446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.