Individual provider Active NPI

Evagelia Thano

  • Family Psychologist
  • Perth Amboy, NJ
National Provider Identifier
1831056084
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
37FA00059200 Issued in NJ
Practice address
924 Lighthouse LN
Perth Amboy, NJ 08861-5226
Phone
(732) 289-5908
NPI assigned
Jan 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X 37FA00059200 NJ Primary

Addresses

Primary practice location

924 Lighthouse LN
Perth Amboy, NJ 08861-5226

Mailing address

924 Lighthouse LN
Perth Amboy, NJ 08861-5226

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37FA00059200NJMDFamily Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1831056084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 LIGHTHOUSE LN",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088615226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 LIGHTHOUSE LN",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088615226",
            "telephone_number": "732-289-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANO",
        "first_name": "EVAGELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NJ",
            "license": "37FA00059200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.