James H Evans, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

568 Issued in CO

Practice address

402 W Bijou St
Suite C
Colorado Springs, CO 80905-1309

Phone

(719) 520-1102

Fax

(719) 302-6686

NPI assigned

Mar 9, 2007

Last updated

Aug 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James H Evans,PHD PC

  • Clinical Neuropsychologist
  • Colorado Springs, CO
  • NPI 1023149689
  Authorized official Same address or phone
• Traumatic Brain Injury of Southern Colorado, PC

  • Clinical Neuropsychologist
  • Pueblo, CO
  • NPI 1386775781
  NPD (past) Authorized official

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1780716407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W BIJOU ST",
            "address_2": "SUITE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051309",
            "telephone_number": "719-520-1102",
            "fax_number": "719-302-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W BIJOU ST",
            "address_2": "SUITE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051309",
            "telephone_number": "719-520-1102",
            "fax_number": "719-302-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JAMES",
        "middle_name": "H",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07104672",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deena Evans
• Douglas Brian Evans, DDS
• Emma Evans
• Eugene Curtis Evans, LAC, LPCC
• Gabrielle Evans
• James H Evans Jr., LAC
• Jessica Evans
• John B Evans, PH.D., LCSW
• Kaitlyn Keleher Evans
• Laura Horton Evans, MS, OTR/L

• Clinical Neuropsychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Neuropsychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.