Active NPI
Mandy Lee Evans, M.D., M.P.H.
- Psychiatry Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036115446
- 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
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 |
|---|---|---|---|---|
| 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, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036115446 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| The Thresholds | Psychiatry | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| The Thresholds | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1669488029
Psychiatry
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westmont, IL
- NPI 1083590996
-
- Family Medicine Physician
- Cody, WY
- NPI 1346288347
-
- General Practice Physician
- Billings, MT
- NPI 1376598714
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1790931079
-
- Psychiatry Physician
- Yorba Linda, CA
- NPI 1275570756
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.