NPIMap

Organization Active NPI

Julia Evans PHD Psychology PC

Doing business as Brain Wellness Institute

  • Clinical Psychologist
  • Costa Mesa, CA
National Provider Identifier
1861902280
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JULIA EVANS PHD PSYCHOLOGY PC
Doing business as
Brain Wellness Institute
Practice address
940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757
Phone
(949) 743-1457
Fax
(974) 274-8299
NPI assigned
Oct 11, 2017
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Dr. Julia Evans, PHDNPI 1760924849
Title
Owner/ Neuropsychologist
Phone
(949) 981-4566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU
Clinical Psychologist 103TC0700X NU Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757

Mailing address

940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757
Phone (949) 743-1457

Other practice location 1

2173 Salk Ave Ste 250
Carlsbad, CA 92008-7383
Phone (949) 743-1457

Other practice location 2

40 Burton Hills Blvd Ste 200
Nashville, TN 37215-5902
Phone (949) 743-1457

Other names 1

  • Brain Wellness Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180214001586 CA Part B Supplier - Clinic/Group Practice 0446510309 Receives reassigned benefits from 27 practitioners
Practice locations: Carlsbad, CA; Costa Mesa, CA

National Provider Directory

National Provider Directory

Locations

940 S Coast Dr
Ste 225
Costa Mesa, CA 92626
Phone (949) 742-1457

Practitioners & affiliated clinicians

Practitioners 94

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.

View all 94

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1861902280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S COAST DR STE 225",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267757",
            "telephone_number": "949-743-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S COAST DR STE 225",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267757",
            "telephone_number": "949-743-1457",
            "fax_number": "974-274-8299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2173 Salk Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920087383",
            "country_code": "US",
            "telephone_number": "949-743-1457",
            "fax_number": "949-274-8299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Burton Hills Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372155902",
            "country_code": "US",
            "telephone_number": "949-743-1457",
            "fax_number": "949-274-8299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JULIA EVANS PHD PSYCHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER/ NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "949-981-4566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain Wellness Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.