Active NPI
Julia Evans, PH.D.
- Clinical Neuropsychologist
- Costa Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY28398
- Practice address
- 940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757 - Phone
- (949) 743-1457
- Fax
- (949) 274-8299
- NPI assigned
- Nov 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY28398 | CA | |
| Clinical Neuropsychologist | 103G00000X | PSY28398 | CA | Primary |
Addresses
Primary practice location
940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757
Mailing address
940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757
Phone (949) 743-1457
Other practice location 1
3991 MacArthur Blvd Ste 200
Newport Beach, CA 92660-3048
Phone (949) 887-7187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY28398 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2173 Salk Ave
Suite 250
Carlsbad, CA 92008-7383
Phone (949) 743-1457
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY28398 | CA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julia Evans PHD Psychology PC | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
2173 Salk Ave
Ste 250
Carlsbad, CA 92008
Phone (760) 477-8585
940 S Coast Dr
Ste 225
Costa Mesa, CA 92626
Phone (949) 742-1457
4700 Von Karman Ave
Ste 102
Newport Beach, CA 92660
Phone (949) 743-1457
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Costa Mesa, CA
- NPI 1861902280
Clinical Neuropsychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1760924849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 S COAST DR STE 225",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926267757",
"telephone_number": "949-743-1457",
"fax_number": "949-274-8299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 S COAST DR STE 225",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926267757",
"telephone_number": "949-743-1457",
"fax_number": "949-274-8299"
}
],
"practiceLocations": [
{
"address_1": "3991 MacArthur Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926603048",
"country_code": "US",
"telephone_number": "949-887-7187",
"fax_number": "949-476-3080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "JULIA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-07",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY28398",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY28398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PSY28398",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.