NPIMap

Organization Active NPI

Evans Neuropsychology and Therapy

  • Clinical Psychologist
  • West Des Moines, IA
National Provider Identifier
1811387046
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
00666 Issued in IA
Legal business name
EVANS NEUROPSYCHOLOGY AND THERAPY
Practice address
1001 Office Park Rd
301
West Des Moines, IA 50265-2587
Phone
(515) 985-8209
Fax
(515) 608-4405
NPI assigned
Jan 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Dr. Catherine Evans, PH.D.NPI 1124005129
Title
Clinical Psychologist
Phone
(515) 985-8209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 00666 IA Primary

Addresses

Primary practice location

1001 Office Park Rd
301
West Des Moines, IA 50265-2587

Mailing address

1001 Office Park Rd
301
West Des Moines, IA 50265-2587
Phone (515) 985-8209

Other identifiers 2

IdentifierTypeStateIssuer
1124005129MedicaidIA
620003472OtherIAMEDICARE RR

National Provider Directory

National Provider Directory

Locations

1001 Office Park Rd
Ste 301
West Des Moines, IA 50265
Phone (515) 985-8209

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1811387046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 OFFICE PARK RD",
            "address_2": "301",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652587",
            "telephone_number": "515-985-8209",
            "fax_number": "515-608-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 OFFICE PARK RD",
            "address_2": "301",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652587",
            "telephone_number": "515-985-8209",
            "fax_number": "515-608-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS NEUROPSYCHOLOGY AND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "515-985-8209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "00666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124005129",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "620003472",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.