Active NPI
Robert Michael Evans, PHD
- Psychologist
- Lafayette, CA
National Provider Identifier
1841203668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY9491
- Practice address
- 3744 Mt Diablo Blvd
Ste 103
Lafayette, CA 94549 - Phone
- (925) 284-2303
- Fax
- (925) 284-2303
- NPI assigned
- Aug 14, 2006
- Last updated
- Jun 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY9491 | CA | Primary |
Addresses
Primary practice location
3744 Mt Diablo Blvd
Ste 103
Lafayette, CA 94549
Mailing address
3744 Mt Diablo Blvd
Ste 103
Lafayette, CA 94549
Phone (925) 284-2303
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 |
|---|---|---|---|
| PSY9491 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1841203668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3744 MT DIABLO BLVD",
"address_2": "STE 103",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "94549",
"telephone_number": "925-284-2303",
"fax_number": "925-284-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3744 MT DIABLO BLVD",
"address_2": "STE 103",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "94549",
"telephone_number": "925-284-2303",
"fax_number": "925-284-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY9491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.