Active NPI
Anne Elizabeth Evans, PHD, LMFT
- Clinical Psychologist
- Bethlehem, PA
National Provider Identifier
1821053141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS4914-L
- Practice address
- 65 E. Elizabeth Ave.
Suite 612
Bethlehem, PA 18018 - Phone
- (484) 866-7346
- NPI assigned
- Apr 19, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS4914L | PA | |
| Marriage & Family Therapist | 106H00000X | MF000069 | PA | |
| Clinical Psychologist | 103TC0700X | PS4914-L | PA | Primary |
Addresses
Primary practice location
65 E. Elizabeth Ave.
Suite 612
Bethlehem, PA 18018
Mailing address
65 E. Elizabeth Ave
Suite 612
Bethlehem, PA 18018
Phone (484) 866-7346
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01872801 | Other | CBC | |
| 02751300 | Other | GR | |
| 010895800 | Other | IBC | |
| 501528 | Other | PA | HIGHMARK B.S. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS4914L | PA | MD | Psychologist |
| PS4914-L | PA | MD | Clinical Psychologist |
| MF000069 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1821053141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 E. ELIZABETH AVE",
"address_2": "SUITE 612",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18018",
"telephone_number": "484-866-7346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 E. ELIZABETH AVE.",
"address_2": "SUITE 612",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18018",
"telephone_number": "484-866-7346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "ANNE ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHD, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS4914L",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000069",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS4914-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBC",
"identifier": "01872801",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GR",
"identifier": "02751300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "010895800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK B.S.",
"identifier": "501528",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.