Individual provider Active NPI

Evelyn Phipps Boyer, PH.D.

  • Clinical Psychologist
  • Bethesda, MD
National Provider Identifier
1861760746
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
01975 Issued in MD
Practice address
4424 Montgomery Ave
Suite 200
Bethesda, MD 20814-4409
Phone
(202) 489-8142
Fax
(202) 237-0528
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 01975 MD Primary
Counseling Psychologist 103TC1900X 01975 MD

Addresses

Primary practice location

4424 Montgomery Ave
Suite 200
Bethesda, MD 20814-4409

Mailing address

4812 32ND St NW
Washington, DC 20008-2226
Phone (202) 237-0528

Other identifiers 1

IdentifierTypeStateIssuer
202424300OtherDCDOL OWCP

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
01975MDMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1861760746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 32ND ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082226",
            "telephone_number": "202-237-0528",
            "fax_number": "202-537-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 MONTGOMERY AVE",
            "address_2": "SUITE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144409",
            "telephone_number": "202-489-8142",
            "fax_number": "202-237-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "EVELYN",
        "middle_name": "PHIPPS",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "01975",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MD",
            "license": "01975",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL OWCP",
            "identifier": "202424300",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.